<?=$this->load->view('include_header',null)?>
<style type="text/css">
select { width:100px;}
</style>
	<div id="top-panel">
		<div id="panel">
			<ul>
				<li class="current"><a href="<?=site_url('archive/idcard/'.$id)?>" class="report"><?=(empty($id))?"录入新":"编辑"?>客户基本信息</a></li>
				<?php if(!empty($info->id)):?><li><a id="printInfo" class="folder_table">打印本页信息</a></li><?php endif;?>
			</ul>
		</div>
	</div>
	<div id="wrapper">
		<div id="content">
			<div id="box">
<!-- table begin -->
<form method="post" id="form"  enctype="multipart/form-data" action="<?=site_url('schengen/ca_student_update/'.$cateid)?>">

	<h3>加拿大学生申请表[IMM 1294 F]</h3>
    <table width="100%">
    <thead>
        <tr>
          <td colspan="4" align="right"><img src="<?= (@$info->avatar)?@$info->avatar:'images/avatar.gif'?>" width="150" height="150" /></td>
		  <td align="right">
		  上传照片<br />
		  <input type="file" name="userphoto" /><br />
		  (.gif|.jpg|.png文件,最大1M)<br />
		  <?php if (@$info->attachment):?><a href="<?= @$info->attachment?>" target="_blank">点击下载附件</a><?php endif; ?>
		  &nbsp;&nbsp;&nbsp;&nbsp;上传附件<br />
		  <input type="file" name="userfile" /><br />
		  (.pdf|.zip|.rar|.doc,最大2M)		  </td>
        </tr>
    </thead>
    <tfoot>
        <tr>
            <td colspan="5" align="right">			
			<input type="hidden" name="id" value="<?=$id?>" />
			<input id="button1" type="submit" value="提交信息" />
			<input id="button2" type="reset" value="重置" />			</td>
        </tr>
    </tfoot>

    <tbody>
        <tr class="odd">
            <td>UCI/Client ID</td>
        	<td><input type="text" name="uci" value="<?= @$info->uci?>" /></td>
        	<td>&nbsp;</td>
        	<td>I want service in</td>
			<td><select name="service_in">
			    <option></option>	
				<option value="English" <?= (@$info->service_in=='English')?'selected':''?>>English</option>
				<option value="French" <?= (@$info->service_in=='French')?'selected':''?>>French</option>
			</select>			</td>
        </tr>
        <tr class="even">
            <td>&nbsp;</td>
        	<td>&nbsp;</td>
        	<td>&nbsp;</td>
        	<td>&nbsp;</td>
			<td>&nbsp;</td>
        </tr>

        <tr class="odd">
            <td colspan="5"><strong>PERSONAL DETAILS</strong></td>
         </tr>
        <tr class="even">
            <td>1 Full name<br />
              Family name (as shown on your passport or travel document) </td>
            <td><input type="text" name="surname" value="<?= @$info->surname?>" /></td>
            <td>&nbsp;</td>
            <td>Given name(s) (as shown on your passport or travel document)</td>
            <td><input type="text" name="firstname" value="<?= @$info->firstname?>" /></td>
        </tr>
        <tr class="odd">
            <td colspan="2">2 Have you ever used any other name (e.g. Nickname, maiden name, alias, etc.)?</td>
            <td colspan="3">
			<input type="radio" name="has_other_name" value="0" <?= (@$info->has_other_name==0)?'checked':''?> />No 
        	<input type="radio" name="has_other_name" value="1" <?= (@$info->has_other_name==1)?'checked':''?> />Yes<br />
               Family name 
               <input type="text" name="other_surname" value="<?= @$info->other_surname?>" />
               <br />
               Given name(s) 
               <input type="text" name="other_firstname" value="<?= @$info->other_firstname?>" /></td>
        </tr>
        <tr class="even">
            <td>3 Sex</td>
            <td>
              <select name="sex">
				<option></option>	
				<option value="1" <?= (@$info->sex=='1')?'selected':''?>>Male</option>
				<option value="2" <?= (@$info->sex=='2')?'selected':''?>>Female</option>
				<option value="0" <?= (@$info->sex=='0')?'selected':''?>>Unknown</option>
			</select>            </td>
            <td>&nbsp;</td>
            <td>4 Date of birth</td>
            <td>
			<select name="birth_y" style="width:auto"><option></option><?php for($i=date("Y");$i>1940;$i--) echo "<option value='$i'".((@$info->birth_y==$i)?" selected":"").">$i</option>"; ?></select>
			<select name="birth_m" style="width:auto"><option></option><?php for($i=1;$i<=12;$i++) echo "<option value='$i'".((@$info->birth_m==$i)?" selected":"").">$i</option>"; ?></select> 
			<select name="birth_d" style="width:auto"><option></option><?php for($i=1;$i<=31;$i++) echo "<option value='$i'".((@$info->birth_d==$i)?" selected":"").">$i</option>"; ?></select></td>
        </tr>
        <tr class="odd">
            <td>5 Place of birth</td>
            <td colspan="4">City/Town 
              <input type="text" name="birth_place" value="<?= @$info->birth_place?>" />              
               Country              
               <select name="birth_country">
<option></option>
<option value="Afghanistan"<?= (@$info->birth_country=="Afghanistan")?" selected":""?>>Afghanistan</option>
<option value="Albania"<?= (@$info->birth_country=="Albania")?" selected":""?>>Albania</option>
<option value="Algeria"<?= (@$info->birth_country=="Algeria")?" selected":""?>>Algeria</option>
<option value="Andorra"<?= (@$info->birth_country=="Andorra")?" selected":""?>>Andorra</option>
<option value="Angola"<?= (@$info->birth_country=="Angola")?" selected":""?>>Angola</option>
<option value="Anguilla"<?= (@$info->birth_country=="Anguilla")?" selected":""?>>Anguilla</option>
<option value="Antigua And Barbuda"<?= (@$info->birth_country=="Antigua And Barbuda")?" selected":""?>>Antigua And Barbuda</option>
<option value="Argentina"<?= (@$info->birth_country=="Argentina")?" selected":""?>>Argentina</option>
<option value="Armenia"<?= (@$info->birth_country=="Armenia")?" selected":""?>>Armenia</option>
<option value="Aruba"<?= (@$info->birth_country=="Aruba")?" selected":""?>>Aruba</option>
<option value="Australia"<?= (@$info->birth_country=="Australia")?" selected":""?>>Australia</option>
<option value="Austria"<?= (@$info->birth_country=="Austria")?" selected":""?>>Austria</option>
<option value="Azerbaijan"<?= (@$info->birth_country=="Azerbaijan")?" selected":""?>>Azerbaijan</option>
<option value="Azores"<?= (@$info->birth_country=="Azores")?" selected":""?>>Azores</option>
<option value="Bahama Islands, The"<?= (@$info->birth_country=="Bahama Islands, The")?" selected":""?>>Bahama Islands, The</option>
<option value="Bahrain"<?= (@$info->birth_country=="Bahrain")?" selected":""?>>Bahrain</option>
<option value="Bangladesh"<?= (@$info->birth_country=="Bangladesh")?" selected":""?>>Bangladesh</option>
<option value="Barbados"<?= (@$info->birth_country=="Barbados")?" selected":""?>>Barbados</option>
<option value="Belarus"<?= (@$info->birth_country=="Belarus")?" selected":""?>>Belarus</option>
<option value="Belgium"<?= (@$info->birth_country=="Belgium")?" selected":""?>>Belgium</option>
<option value="Belize"<?= (@$info->birth_country=="Belize")?" selected":""?>>Belize</option>
<option value="Benin, Peoples Republic Of"<?= (@$info->birth_country=="Benin, Peoples Republic Of")?" selected":""?>>Benin, Peoples Republic Of</option>
<option value="Bermuda"<?= (@$info->birth_country=="Bermuda")?" selected":""?>>Bermuda</option>
<option value="Bhutan"<?= (@$info->birth_country=="Bhutan")?" selected":""?>>Bhutan</option>
<option value="Bolivia"<?= (@$info->birth_country=="Bolivia")?" selected":""?>>Bolivia</option>
<option value="Bosnia-Hercepovina"<?= (@$info->birth_country=="Bosnia-Hercepovina")?" selected":""?>>Bosnia-Hercepovina</option>
<option value="Botswana, Republic Of"<?= (@$info->birth_country=="Botswana, Republic Of")?" selected":""?>>Botswana, Republic Of</option>
<option value="Brazil"<?= (@$info->birth_country=="Brazil")?" selected":""?>>Brazil</option>
<option value="Brunei"<?= (@$info->birth_country=="Brunei")?" selected":""?>>Brunei</option>
<option value="Bulgaria"<?= (@$info->birth_country=="Bulgaria")?" selected":""?>>Bulgaria</option>
<option value="Burkina Faso"<?= (@$info->birth_country=="Burkina Faso")?" selected":""?>>Burkina Faso</option>
<option value="Burundi"<?= (@$info->birth_country=="Burundi")?" selected":""?>>Burundi</option>
<option value="Cambodia"<?= (@$info->birth_country=="Cambodia")?" selected":""?>>Cambodia</option>
<option value="Cameroon, Federal Republic Of"<?= (@$info->birth_country=="Cameroon, Federal Republic Of")?" selected":""?>>Cameroon, Federal Republic Of</option>
<option value="Canada"<?= (@$info->birth_country=="Canada")?" selected":""?>>Canada</option>
<option value="Canary Islands"<?= (@$info->birth_country=="Canary Islands")?" selected":""?>>Canary Islands</option>
<option value="Cape Verde Islands"<?= (@$info->birth_country=="Cape Verde Islands")?" selected":""?>>Cape Verde Islands</option>
<option value="Cayman Islands"<?= (@$info->birth_country=="Cayman Islands")?" selected":""?>>Cayman Islands</option>
<option value="Central Africa Republic"<?= (@$info->birth_country=="Central Africa Republic")?" selected":""?>>Central Africa Republic</option>
<option value="Chad, Republic Of"<?= (@$info->birth_country=="Chad, Republic Of")?" selected":""?>>Chad, Republic Of</option>
<option value="Channel Islands"<?= (@$info->birth_country=="Channel Islands")?" selected":""?>>Channel Islands</option>
<option value="Chile"<?= (@$info->birth_country=="Chile")?" selected":""?>>Chile</option>
<option value="China, People's Republic Of"<?= (@$info->birth_country=="China, People's Republic Of")?" selected":""?>>China, People's Republic Of</option>
<option value="Colombia"<?= (@$info->birth_country=="Colombia")?" selected":""?>>Colombia</option>
<option value="Comoros"<?= (@$info->birth_country=="Comoros")?" selected":""?>>Comoros</option>
<option value="Congo, People's Republic Of"<?= (@$info->birth_country=="Congo, People's Republic Of")?" selected":""?>>Congo, People's Republic Of</option>
<option value="Congo, Democratic Republic Of"<?= (@$info->birth_country=="Congo, Democratic Republic Of")?" selected":""?>>Congo, Democratic Republic Of</option>
<option value="Cook Islands"<?= (@$info->birth_country=="Cook Islands")?" selected":""?>>Cook Islands</option>
<option value="Costa Rica"<?= (@$info->birth_country=="Costa Rica")?" selected":""?>>Costa Rica</option>
<option value="Croatia"<?= (@$info->birth_country=="Croatia")?" selected":""?>>Croatia</option>
<option value="Cuba"<?= (@$info->birth_country=="Cuba")?" selected":""?>>Cuba</option>
<option value="Cyprus"<?= (@$info->birth_country=="Cyprus")?" selected":""?>>Cyprus</option>
<option value="Czech Republic"<?= (@$info->birth_country=="Czech Republic")?" selected":""?>>Czech Republic</option>
<option value="Czechoslovakia"<?= (@$info->birth_country=="Czechoslovakia")?" selected":""?>>Czechoslovakia</option>
<option value="Denmark"<?= (@$info->birth_country=="Denmark")?" selected":""?>>Denmark</option>
<option value="Djibouti, Republic Of"<?= (@$info->birth_country=="Djibouti, Republic Of")?" selected":""?>>Djibouti, Republic Of</option>
<option value="Dominica"<?= (@$info->birth_country=="Dominica")?" selected":""?>>Dominica</option>
<option value="Dominican Republic"<?= (@$info->birth_country=="Dominican Republic")?" selected":""?>>Dominican Republic</option>
<option value="East Timor"<?= (@$info->birth_country=="East Timor")?" selected":""?>>East Timor</option>
<option value="Ecuador"<?= (@$info->birth_country=="Ecuador")?" selected":""?>>Ecuador</option>
<option value="Egypt"<?= (@$info->birth_country=="Egypt")?" selected":""?>>Egypt</option>
<option value="El Salvador"<?= (@$info->birth_country=="El Salvador")?" selected":""?>>El Salvador</option>
<option value="England"<?= (@$info->birth_country=="England")?" selected":""?>>England</option>
<option value="Eritrea"<?= (@$info->birth_country=="Eritrea")?" selected":""?>>Eritrea</option>
<option value="Estonia"<?= (@$info->birth_country=="Estonia")?" selected":""?>>Estonia</option>
<option value="Ethiopia"<?= (@$info->birth_country=="Ethiopia")?" selected":""?>>Ethiopia</option>
<option value="Falkland Islands"<?= (@$info->birth_country=="Falkland Islands")?" selected":""?>>Falkland Islands</option>
<option value="Federated States of Micronesia"<?= (@$info->birth_country=="Federated States of Micronesia")?" selected":""?>>Federated States of Micronesia</option>
<option value="Fiji"<?= (@$info->birth_country=="Fiji")?" selected":""?>>Fiji</option>
<option value="Finland"<?= (@$info->birth_country=="Finland")?" selected":""?>>Finland</option>
<option value="France"<?= (@$info->birth_country=="France")?" selected":""?>>France</option>
<option value="French Guiana"<?= (@$info->birth_country=="French Guiana")?" selected":""?>>French Guiana</option>
<option value="French Polynesia"<?= (@$info->birth_country=="French Polynesia")?" selected":""?>>French Polynesia</option>
<option value="Fyr Macedonia"<?= (@$info->birth_country=="Fyr Macedonia")?" selected":""?>>Fyr Macedonia</option>
<option value="Gabon Republic"<?= (@$info->birth_country=="Gabon Republic")?" selected":""?>>Gabon Republic</option>
<option value="Gambia"<?= (@$info->birth_country=="Gambia")?" selected":""?>>Gambia</option>
<option value="Georgia"<?= (@$info->birth_country=="Georgia")?" selected":""?>>Georgia</option>
<option value="Germany, Federal Rebpublic Of"<?= (@$info->birth_country=="Germany, Federal Rebpublic Of")?" selected":""?>>Germany, Federal Rebpublic Of</option>
<option value="Ghana"<?= (@$info->birth_country=="Ghana")?" selected":""?>>Ghana</option>
<option value="Gibraltar"<?= (@$info->birth_country=="Gibraltar")?" selected":""?>>Gibraltar</option>
<option value="Greece"<?= (@$info->birth_country=="Greece")?" selected":""?>>Greece</option>
<option value="Greenland"<?= (@$info->birth_country=="Greenland")?" selected":""?>>Greenland</option>
<option value="Grenada"<?= (@$info->birth_country=="Grenada")?" selected":""?>>Grenada</option>
<option value="Guadeloupe"<?= (@$info->birth_country=="Guadeloupe")?" selected":""?>>Guadeloupe</option>
<option value="Guam"<?= (@$info->birth_country=="Guam")?" selected":""?>>Guam</option>
<option value="Guatemala"<?= (@$info->birth_country=="Guatemala")?" selected":""?>>Guatemala</option>
<option value="Guinea, Equatorial"<?= (@$info->birth_country=="Guinea, Equatorial")?" selected":""?>>Guinea, Equatorial</option>
<option value="Guinea, Republic Of"<?= (@$info->birth_country=="Guinea, Republic Of")?" selected":""?>>Guinea, Republic Of</option>
<option value="Guinea-Bissau"<?= (@$info->birth_country=="Guinea-Bissau")?" selected":""?>>Guinea-Bissau</option>
<option value="Guyana"<?= (@$info->birth_country=="Guyana")?" selected":""?>>Guyana</option>
<option value="Haiti"<?= (@$info->birth_country=="Haiti")?" selected":""?>>Haiti</option>
<option value="Holy See"<?= (@$info->birth_country=="Holy See")?" selected":""?>>Holy See</option>
<option value="Honduras"<?= (@$info->birth_country=="Honduras")?" selected":""?>>Honduras</option>
<option value="Hong Kong"<?= (@$info->birth_country=="Hong Kong")?" selected":""?>>Hong Kong</option>
<option value="Hong Kong Sar"<?= (@$info->birth_country=="Hong Kong Sar")?" selected":""?>>Hong Kong Sar</option>
<option value="Hungary"<?= (@$info->birth_country=="Hungary")?" selected":""?>>Hungary</option>
<option value="Iceland"<?= (@$info->birth_country=="Iceland")?" selected":""?>>Iceland</option>
<option value="India"<?= (@$info->birth_country=="India")?" selected":""?>>India</option>
<option value="Indonesia, Republic Of"<?= (@$info->birth_country=="Indonesia, Republic Of")?" selected":""?>>Indonesia, Republic Of</option>
<option value="Iran"<?= (@$info->birth_country=="Iran")?" selected":""?>>Iran</option>
<option value="Iraq"<?= (@$info->birth_country=="Iraq")?" selected":""?>>Iraq</option>
<option value="Ireland, Republic Of"<?= (@$info->birth_country=="Ireland, Republic Of")?" selected":""?>>Ireland, Republic Of</option>
<option value="Israel"<?= (@$info->birth_country=="Israel")?" selected":""?>>Israel</option>
<option value="Italy"<?= (@$info->birth_country=="Italy")?" selected":""?>>Italy</option>
<option value="Ivory Coast, Republic"<?= (@$info->birth_country=="Ivory Coast, Republic")?" selected":""?>>Ivory Coast, Republic</option>
<option value="Jamaica"<?= (@$info->birth_country=="Jamaica")?" selected":""?>>Jamaica</option>
<option value="Japan"<?= (@$info->birth_country=="Japan")?" selected":""?>>Japan</option>
<option value="Jordan"<?= (@$info->birth_country=="Jordan")?" selected":""?>>Jordan</option>
<option value="Kazakhstan"<?= (@$info->birth_country=="Kazakhstan")?" selected":""?>>Kazakhstan</option>
<option value="Kenya"<?= (@$info->birth_country=="Kenya")?" selected":""?>>Kenya</option>
<option value="Kiribati"<?= (@$info->birth_country=="Kiribati")?" selected":""?>>Kiribati</option>
<option value="Korea (North)"<?= (@$info->birth_country=="Korea (North)")?" selected":""?>>Korea (North)</option>
<option value="Korea, Republic Of"<?= (@$info->birth_country=="Korea, Republic Of")?" selected":""?>>Korea, Republic Of</option>
<option value="Kuwait"<?= (@$info->birth_country=="Kuwait")?" selected":""?>>Kuwait</option>
<option value="Kyrgyzstan"<?= (@$info->birth_country=="Kyrgyzstan")?" selected":""?>>Kyrgyzstan</option>
<option value="Laos"<?= (@$info->birth_country=="Laos")?" selected":""?>>Laos</option>
<option value="Latvia"<?= (@$info->birth_country=="Latvia")?" selected":""?>>Latvia</option>
<option value="Lebanon"<?= (@$info->birth_country=="Lebanon")?" selected":""?>>Lebanon</option>
<option value="Lesotho"<?= (@$info->birth_country=="Lesotho")?" selected":""?>>Lesotho</option>
<option value="Liberia"<?= (@$info->birth_country=="Liberia")?" selected":""?>>Liberia</option>
<option value="Libya"<?= (@$info->birth_country=="Libya")?" selected":""?>>Libya</option>
<option value="Liechtenstein"<?= (@$info->birth_country=="Liechtenstein")?" selected":""?>>Liechtenstein</option>
<option value="Lithuania"<?= (@$info->birth_country=="Lithuania")?" selected":""?>>Lithuania</option>
<option value="Luxembourg"<?= (@$info->birth_country=="Luxembourg")?" selected":""?>>Luxembourg</option>
<option value="Macao"<?= (@$info->birth_country=="Macao")?" selected":""?>>Macao</option>
<option value="Macau SAR"<?= (@$info->birth_country=="Macau SAR")?" selected":""?>>Macau SAR</option>
<option value="Madagascar"<?= (@$info->birth_country=="Madagascar")?" selected":""?>>Madagascar</option>
<option value="Madeira"<?= (@$info->birth_country=="Madeira")?" selected":""?>>Madeira</option>
<option value="Malawi"<?= (@$info->birth_country=="Malawi")?" selected":""?>>Malawi</option>
<option value="Malaysia"<?= (@$info->birth_country=="Malaysia")?" selected":""?>>Malaysia</option>
<option value="Maldives, Republic Of"<?= (@$info->birth_country=="Maldives, Republic Of")?" selected":""?>>Maldives, Republic Of</option>
<option value="Mali, Republic Of"<?= (@$info->birth_country=="Mali, Republic Of")?" selected":""?>>Mali, Republic Of</option>
<option value="Malta"<?= (@$info->birth_country=="Malta")?" selected":""?>>Malta</option>
<option value="Marshall Islands"<?= (@$info->birth_country=="Marshall Islands")?" selected":""?>>Marshall Islands</option>
<option value="Martinique"<?= (@$info->birth_country=="Martinique")?" selected":""?>>Martinique</option>
<option value="Mauritania"<?= (@$info->birth_country=="Mauritania")?" selected":""?>>Mauritania</option>
<option value="Mauritius"<?= (@$info->birth_country=="Mauritius")?" selected":""?>>Mauritius</option>
<option value="Mayotte"<?= (@$info->birth_country=="Mayotte")?" selected":""?>>Mayotte</option>
<option value="Mexico"<?= (@$info->birth_country=="Mexico")?" selected":""?>>Mexico</option>
<option value="Moldova"<?= (@$info->birth_country=="Moldova")?" selected":""?>>Moldova</option>
<option value="Monaco"<?= (@$info->birth_country=="Monaco")?" selected":""?>>Monaco</option>
<option value="Mongolia, People's Republic Of"<?= (@$info->birth_country=="Mongolia, People's Republic Of")?" selected":""?>>Mongolia, People's Republic Of</option>
<option value="Montenegro, Republic Of"<?= (@$info->birth_country=="Montenegro, Republic Of")?" selected":""?>>Montenegro, Republic Of</option>
<option value="Montserrat"<?= (@$info->birth_country=="Montserrat")?" selected":""?>>Montserrat</option>
<option value="Morocco"<?= (@$info->birth_country=="Morocco")?" selected":""?>>Morocco</option>
<option value="Monzambique"<?= (@$info->birth_country=="Monzambique")?" selected":""?>>Monzambique</option>
<option value="Myanmar (Burma)"<?= (@$info->birth_country=="Myanmar (Burma)")?" selected":""?>>Myanmar (Burma)</option>
<option value="Namibia"<?= (@$info->birth_country=="Namibia")?" selected":""?>>Namibia</option>
<option value="Nauru"<?= (@$info->birth_country=="Nauru")?" selected":""?>>Nauru</option>
<option value="Nepal"<?= (@$info->birth_country=="Nepal")?" selected":""?>>Nepal</option>
<option value="Netherlands Antilles, The"<?= (@$info->birth_country=="Netherlands Antilles, The")?" selected":""?>>Netherlands Antilles, The</option>
<option value="Netherlands, The"<?= (@$info->birth_country=="Netherlands, The")?" selected":""?>>Netherlands, The</option>
<option value="Nevis"<?= (@$info->birth_country=="Nevis")?" selected":""?>>Nevis</option>
<option value="New Caledonia"<?= (@$info->birth_country=="New Caledonia")?" selected":""?>>New Caledonia</option>
<option value="New Zealand"<?= (@$info->birth_country=="New Zealand")?" selected":""?>>New Zealand</option>
<option value="Nicaragua"<?= (@$info->birth_country=="Nicaragua")?" selected":""?>>Nicaragua</option>
<option value="Niger, Republic Of The"<?= (@$info->birth_country=="Niger, Republic Of The")?" selected":""?>>Niger, Republic Of The</option>
<option value="Nigeria"<?= (@$info->birth_country=="Nigeria")?" selected":""?>>Nigeria</option>
<option value="Northern Ireland"<?= (@$info->birth_country=="Northern Ireland")?" selected":""?>>Northern Ireland</option>
<option value="Northern Mariana Islands"<?= (@$info->birth_country=="Northern Mariana Islands")?" selected":""?>>Northern Mariana Islands</option>
<option value="Norway"<?= (@$info->birth_country=="Norway")?" selected":""?>>Norway</option>
<option value="Oman"<?= (@$info->birth_country=="Oman")?" selected":""?>>Oman</option>
<option value="Pakistan"<?= (@$info->birth_country=="Pakistan")?" selected":""?>>Pakistan</option>
<option value="Palestinian Autho.Gaza/W Bank"<?= (@$info->birth_country=="Palestinian Autho.Gaza/W Bank")?" selected":""?>>Palestinian Autho.Gaza/W Bank</option>
<option value="Panama, Republic Of"<?= (@$info->birth_country=="Panama, Republic Of")?" selected":""?>>Panama, Republic Of</option>
<option value="Papua New Guinea"<?= (@$info->birth_country=="Papua New Guinea")?" selected":""?>>Papua New Guinea</option>
<option value="Paraguay"<?= (@$info->birth_country=="Paraguay")?" selected":""?>>Paraguay</option>
<option value="Peru"<?= (@$info->birth_country=="Peru")?" selected":""?>>Peru</option>
<option value="Philippines"<?= (@$info->birth_country=="Philippines")?" selected":""?>>Philippines</option>
<option value="Pitcairn Island"<?= (@$info->birth_country=="Pitcairn Island")?" selected":""?>>Pitcairn Island</option>
<option value="poland"<?= (@$info->birth_country=="poland")?" selected":""?>>poland</option>
<option value="Portugal"<?= (@$info->birth_country=="Portugal")?" selected":""?>>Portugal</option>
<option value="Puerto Rico"<?= (@$info->birth_country=="Puerto Rico")?" selected":""?>>Puerto Rico</option>
<option value="Qatar"<?= (@$info->birth_country=="Qatar")?" selected":""?>>Qatar</option>
<option value="Republic Of Kosovo"<?= (@$info->birth_country=="Republic Of Kosovo")?" selected":""?>>Republic Of Kosovo</option>
<option value="Republic Of Palau"<?= (@$info->birth_country=="Republic Of Palau")?" selected":""?>>Republic Of Palau</option>
<option value="Reunion"<?= (@$info->birth_country=="Reunion")?" selected":""?>>Reunion</option>
<option value="Romania"<?= (@$info->birth_country=="Romania")?" selected":""?>>Romania</option>
<option value="Russia"<?= (@$info->birth_country=="Russia")?" selected":""?>>Russia</option>
<option value="Rwanda"<?= (@$info->birth_country=="Rwanda")?" selected":""?>>Rwanda</option>
<option value="Samoa, American"<?= (@$info->birth_country=="Samoa, American")?" selected":""?>>Samoa, American</option>
<option value="Samoa, Western"<?= (@$info->birth_country=="Samoa, Western")?" selected":""?>>Samoa, Western</option>
<option value="San Marino"<?= (@$info->birth_country=="San Marino")?" selected":""?>>San Marino</option>
<option value="Sao Tome E Principe"<?= (@$info->birth_country=="Sao Tome E Principe")?" selected":""?>>Sao Tome E Principe</option>
<option value="Saudi Arabia"<?= (@$info->birth_country=="Saudi Arabia")?" selected":""?>>Saudi Arabia</option>
<option value="Scotland"<?= (@$info->birth_country=="Scotland")?" selected":""?>>Scotland</option>
<option value="Senegal"<?= (@$info->birth_country=="Senegal")?" selected":""?>>Senegal</option>
<option value="Serbia And Montenegro"<?= (@$info->birth_country=="Serbia And Montenegro")?" selected":""?>>Serbia And Montenegro</option>
<option value="Serbia, Republic Of"<?= (@$info->birth_country=="Serbia, Republic Of")?" selected":""?>>Serbia, Republic Of</option>
<option value="Seychelles"<?= (@$info->birth_country=="Seychelles")?" selected":""?>>Seychelles</option>
<option value="Sierra Leone"<?= (@$info->birth_country=="Sierra Leone")?" selected":""?>>Sierra Leone</option>
<option value="Singapore"<?= (@$info->birth_country=="Singapore")?" selected":""?>>Singapore</option>
<option value="Slovak Republic"<?= (@$info->birth_country=="Slovak Republic")?" selected":""?>>Slovak Republic</option>
<option value="Slovenia"<?= (@$info->birth_country=="Slovenia")?" selected":""?>>Slovenia</option>
<option value="Solomons, The"<?= (@$info->birth_country=="Solomons, The")?" selected":""?>>Solomons, The</option>
<option value="Somali Republic"<?= (@$info->birth_country=="Somali Republic")?" selected":""?>>Somali Republic</option>
<option value="South Africa, Republic Of"<?= (@$info->birth_country=="South Africa, Republic Of")?" selected":""?>>South Africa, Republic Of</option>
<option value="Southern Antarctic Territories"<?= (@$info->birth_country=="Southern Antarctic Territories")?" selected":""?>>Southern Antarctic Territories</option>
<option value="Spain"<?= (@$info->birth_country=="Spain")?" selected":""?>>Spain</option>
<option value="Sri Lanka"<?= (@$info->birth_country=="Sri Lanka")?" selected":""?>>Sri Lanka</option>
<option value="St. Helena"<?= (@$info->birth_country=="St. Helena")?" selected":""?>>St. Helena</option>
<option value="St. Kitts-Nevis"<?= (@$info->birth_country=="St. Kitts-Nevis")?" selected":""?>>St. Kitts-Nevis</option>
<option value="St. Lucia"<?= (@$info->birth_country=="St. Lucia")?" selected":""?>>St. Lucia</option>
<option value="St. Pierre Et Miquelon"<?= (@$info->birth_country=="St. Pierre Et Miquelon")?" selected":""?>>St. Pierre Et Miquelon</option>
<option value="St. Vincent and the Grenadines"<?= (@$info->birth_country=="St. Vincent and the Grenadines")?" selected":""?>>St. Vincent and the Grenadines</option>
<option value="Sudan, Democratic Republic Of"<?= (@$info->birth_country=="Sudan, Democratic Republic Of")?" selected":""?>>Sudan, Democratic Republic Of</option>
<option value="Surinam"<?= (@$info->birth_country=="Surinam")?" selected":""?>>Surinam</option>
<option value="Swaziland"<?= (@$info->birth_country=="Swaziland")?" selected":""?>>Swaziland</option>
<option value="Sweden"<?= (@$info->birth_country=="Sweden")?" selected":""?>>Sweden</option>
<option value="Switzerland"<?= (@$info->birth_country=="Switzerland")?" selected":""?>>Switzerland</option>
<option value="Syria"<?= (@$info->birth_country=="Syria")?" selected":""?>>Syria</option>
<option value="Tadjikistan"<?= (@$info->birth_country=="Tadjikistan")?" selected":""?>>Tadjikistan</option>
<option value="Taiwan"<?= (@$info->birth_country=="Taiwan")?" selected":""?>>Taiwan</option>
<option value="Tanzania, United Republic Of"<?= (@$info->birth_country=="Tanzania, United Republic Of")?" selected":""?>>Tanzania, United Republic Of</option>
<option value="Thailand"<?= (@$info->birth_country=="Thailand")?" selected":""?>>Thailand</option>
<option value="Tibet"<?= (@$info->birth_country=="Tibet")?" selected":""?>>Tibet</option>
<option value="Togo, Republic Of"<?= (@$info->birth_country=="Togo, Republic Of")?" selected":""?>>Togo, Republic Of</option>
<option value="Tonga"<?= (@$info->birth_country=="Tonga")?" selected":""?>>Tonga</option>
<option value="Trinidad & Tobago, Republic Of"<?= (@$info->birth_country=="Trinidad & Tobago, Republic Of")?" selected":""?>>Trinidad & Tobago, Republic Of</option>
<option value="Tunisia"<?= (@$info->birth_country=="Tunisia")?" selected":""?>>Tunisia</option>
<option value="Turkey"<?= (@$info->birth_country=="Turkey")?" selected":""?>>Turkey</option>
<option value="Turkmenistan"<?= (@$info->birth_country=="Turkmenistan")?" selected":""?>>Turkmenistan</option>
<option value="Turks And Caicos Islands"<?= (@$info->birth_country=="Turks And Caicos Islands")?" selected":""?>>Turks And Caicos Islands</option>
<option value="Tuvalu"<?= (@$info->birth_country=="Tuvalu")?" selected":""?>>Tuvalu</option>
<option value="Uganda"<?= (@$info->birth_country=="Uganda")?" selected":""?>>Uganda</option>
<option value="Ukraine"<?= (@$info->birth_country=="Ukraine")?" selected":""?>>Ukraine</option>
<option value="Union Of Soviet Socialist Rep"<?= (@$info->birth_country=="Union Of Soviet Socialist Rep")?" selected":""?>>Union Of Soviet Socialist Rep</option>
<option value="united Arab Emirates"<?= (@$info->birth_country=="united Arab Emirates")?" selected":""?>>united Arab Emirates</option>
<option value="United States of America"<?= (@$info->birth_country=="United States of America")?" selected":""?>>United States of America</option>
<option value="Unknown"<?= (@$info->birth_country=="Unknown")?" selected":""?>>Unknown</option>
<option value="Uruguay"<?= (@$info->birth_country=="Uruguay")?" selected":""?>>Uruguay</option>
<option value="Uzbekistan"<?= (@$info->birth_country=="Uzbekistan")?" selected":""?>>Uzbekistan</option>
<option value="Vanuatu"<?= (@$info->birth_country=="Vanuatu")?" selected":""?>>Vanuatu</option>
<option value="Venezuela"<?= (@$info->birth_country=="Venezuela")?" selected":""?>>Venezuela</option>
<option value="Vietnam, Socialist Republic Of"<?= (@$info->birth_country=="Vietnam, Socialist Republic Of")?" selected":""?>>Vietnam, Socialist Republic Of</option>
<option value="Virgin Islands, British"<?= (@$info->birth_country=="Virgin Islands, British")?" selected":""?>>Virgin Islands, British</option>
<option value="Virgin Islands, U.s."<?= (@$info->birth_country=="Virgin Islands, U.s.")?" selected":""?>>Virgin Islands, U.s.</option>
<option value="Wales"<?= (@$info->birth_country=="Wales")?" selected":""?>>Wales</option>
<option value="Wallis And Futuna"<?= (@$info->birth_country=="Wallis And Futuna")?" selected":""?>>Wallis And Futuna</option>
<option value="Western Sahara"<?= (@$info->birth_country=="Western Sahara")?" selected":""?>>Western Sahara</option>
<option value="Yemen, Republic Of"<?= (@$info->birth_country=="Yemen, Republic Of")?" selected":""?>>Yemen, Republic Of</option>
<option value="Yugoslavia"<?= (@$info->birth_country=="Yugoslavia")?" selected":""?>>Yugoslavia</option>
<option value="Zambia"<?= (@$info->birth_country=="Zambia")?" selected":""?>>Zambia</option>
<option value="Zimbabwe"<?= (@$info->birth_country=="Zimbabwe")?" selected":""?>>Zimbabwe</option>
</select></td>
        </tr>
        <tr class="even">
          <td>6 Citizenship</td>
		  <td colspan="4"><select name="citizenship">
<option></option>
<option value="Afghanistan"<?= (@$info->citizenship=="Afghanistan")?" selected":""?>>Afghanistan</option>
<option value="Albania"<?= (@$info->citizenship=="Albania")?" selected":""?>>Albania</option>
<option value="Algeria"<?= (@$info->citizenship=="Algeria")?" selected":""?>>Algeria</option>
<option value="Andorra"<?= (@$info->citizenship=="Andorra")?" selected":""?>>Andorra</option>
<option value="Angola"<?= (@$info->citizenship=="Angola")?" selected":""?>>Angola</option>
<option value="Anguilla"<?= (@$info->citizenship=="Anguilla")?" selected":""?>>Anguilla</option>
<option value="Antigua And Barbuda"<?= (@$info->citizenship=="Antigua And Barbuda")?" selected":""?>>Antigua And Barbuda</option>
<option value="Argentina"<?= (@$info->citizenship=="Argentina")?" selected":""?>>Argentina</option>
<option value="Armenia"<?= (@$info->citizenship=="Armenia")?" selected":""?>>Armenia</option>
<option value="Aruba"<?= (@$info->citizenship=="Aruba")?" selected":""?>>Aruba</option>
<option value="Australia"<?= (@$info->citizenship=="Australia")?" selected":""?>>Australia</option>
<option value="Austria"<?= (@$info->citizenship=="Austria")?" selected":""?>>Austria</option>
<option value="Azerbaijan"<?= (@$info->citizenship=="Azerbaijan")?" selected":""?>>Azerbaijan</option>
<option value="Azores"<?= (@$info->citizenship=="Azores")?" selected":""?>>Azores</option>
<option value="Bahama Islands, The"<?= (@$info->citizenship=="Bahama Islands, The")?" selected":""?>>Bahama Islands, The</option>
<option value="Bahrain"<?= (@$info->citizenship=="Bahrain")?" selected":""?>>Bahrain</option>
<option value="Bangladesh"<?= (@$info->citizenship=="Bangladesh")?" selected":""?>>Bangladesh</option>
<option value="Barbados"<?= (@$info->citizenship=="Barbados")?" selected":""?>>Barbados</option>
<option value="Belarus"<?= (@$info->citizenship=="Belarus")?" selected":""?>>Belarus</option>
<option value="Belgium"<?= (@$info->citizenship=="Belgium")?" selected":""?>>Belgium</option>
<option value="Belize"<?= (@$info->citizenship=="Belize")?" selected":""?>>Belize</option>
<option value="Benin, Peoples Republic Of"<?= (@$info->citizenship=="Benin, Peoples Republic Of")?" selected":""?>>Benin, Peoples Republic Of</option>
<option value="Bermuda"<?= (@$info->citizenship=="Bermuda")?" selected":""?>>Bermuda</option>
<option value="Bhutan"<?= (@$info->citizenship=="Bhutan")?" selected":""?>>Bhutan</option>
<option value="Bolivia"<?= (@$info->citizenship=="Bolivia")?" selected":""?>>Bolivia</option>
<option value="Bosnia-Hercepovina"<?= (@$info->citizenship=="Bosnia-Hercepovina")?" selected":""?>>Bosnia-Hercepovina</option>
<option value="Botswana, Republic Of"<?= (@$info->citizenship=="Botswana, Republic Of")?" selected":""?>>Botswana, Republic Of</option>
<option value="Brazil"<?= (@$info->citizenship=="Brazil")?" selected":""?>>Brazil</option>
<option value="Brunei"<?= (@$info->citizenship=="Brunei")?" selected":""?>>Brunei</option>
<option value="Bulgaria"<?= (@$info->citizenship=="Bulgaria")?" selected":""?>>Bulgaria</option>
<option value="Burkina Faso"<?= (@$info->citizenship=="Burkina Faso")?" selected":""?>>Burkina Faso</option>
<option value="Burundi"<?= (@$info->citizenship=="Burundi")?" selected":""?>>Burundi</option>
<option value="Cambodia"<?= (@$info->citizenship=="Cambodia")?" selected":""?>>Cambodia</option>
<option value="Cameroon, Federal Republic Of"<?= (@$info->citizenship=="Cameroon, Federal Republic Of")?" selected":""?>>Cameroon, Federal Republic Of</option>
<option value="Canada"<?= (@$info->citizenship=="Canada")?" selected":""?>>Canada</option>
<option value="Canary Islands"<?= (@$info->citizenship=="Canary Islands")?" selected":""?>>Canary Islands</option>
<option value="Cape Verde Islands"<?= (@$info->citizenship=="Cape Verde Islands")?" selected":""?>>Cape Verde Islands</option>
<option value="Cayman Islands"<?= (@$info->citizenship=="Cayman Islands")?" selected":""?>>Cayman Islands</option>
<option value="Central Africa Republic"<?= (@$info->citizenship=="Central Africa Republic")?" selected":""?>>Central Africa Republic</option>
<option value="Chad, Republic Of"<?= (@$info->citizenship=="Chad, Republic Of")?" selected":""?>>Chad, Republic Of</option>
<option value="Channel Islands"<?= (@$info->citizenship=="Channel Islands")?" selected":""?>>Channel Islands</option>
<option value="Chile"<?= (@$info->citizenship=="Chile")?" selected":""?>>Chile</option>
<option value="China, People's Republic Of"<?= (@$info->citizenship=="China, People's Republic Of")?" selected":""?>>China, People's Republic Of</option>
<option value="Colombia"<?= (@$info->citizenship=="Colombia")?" selected":""?>>Colombia</option>
<option value="Comoros"<?= (@$info->citizenship=="Comoros")?" selected":""?>>Comoros</option>
<option value="Congo, People's Republic Of"<?= (@$info->citizenship=="Congo, People's Republic Of")?" selected":""?>>Congo, People's Republic Of</option>
<option value="Congo, Democratic Republic Of"<?= (@$info->citizenship=="Congo, Democratic Republic Of")?" selected":""?>>Congo, Democratic Republic Of</option>
<option value="Cook Islands"<?= (@$info->citizenship=="Cook Islands")?" selected":""?>>Cook Islands</option>
<option value="Costa Rica"<?= (@$info->citizenship=="Costa Rica")?" selected":""?>>Costa Rica</option>
<option value="Croatia"<?= (@$info->citizenship=="Croatia")?" selected":""?>>Croatia</option>
<option value="Cuba"<?= (@$info->citizenship=="Cuba")?" selected":""?>>Cuba</option>
<option value="Cyprus"<?= (@$info->citizenship=="Cyprus")?" selected":""?>>Cyprus</option>
<option value="Czech Republic"<?= (@$info->citizenship=="Czech Republic")?" selected":""?>>Czech Republic</option>
<option value="Czechoslovakia"<?= (@$info->citizenship=="Czechoslovakia")?" selected":""?>>Czechoslovakia</option>
<option value="Denmark"<?= (@$info->citizenship=="Denmark")?" selected":""?>>Denmark</option>
<option value="Djibouti, Republic Of"<?= (@$info->citizenship=="Djibouti, Republic Of")?" selected":""?>>Djibouti, Republic Of</option>
<option value="Dominica"<?= (@$info->citizenship=="Dominica")?" selected":""?>>Dominica</option>
<option value="Dominican Republic"<?= (@$info->citizenship=="Dominican Republic")?" selected":""?>>Dominican Republic</option>
<option value="East Timor"<?= (@$info->citizenship=="East Timor")?" selected":""?>>East Timor</option>
<option value="Ecuador"<?= (@$info->citizenship=="Ecuador")?" selected":""?>>Ecuador</option>
<option value="Egypt"<?= (@$info->citizenship=="Egypt")?" selected":""?>>Egypt</option>
<option value="El Salvador"<?= (@$info->citizenship=="El Salvador")?" selected":""?>>El Salvador</option>
<option value="England"<?= (@$info->citizenship=="England")?" selected":""?>>England</option>
<option value="Eritrea"<?= (@$info->citizenship=="Eritrea")?" selected":""?>>Eritrea</option>
<option value="Estonia"<?= (@$info->citizenship=="Estonia")?" selected":""?>>Estonia</option>
<option value="Ethiopia"<?= (@$info->citizenship=="Ethiopia")?" selected":""?>>Ethiopia</option>
<option value="Falkland Islands"<?= (@$info->citizenship=="Falkland Islands")?" selected":""?>>Falkland Islands</option>
<option value="Federated States of Micronesia"<?= (@$info->citizenship=="Federated States of Micronesia")?" selected":""?>>Federated States of Micronesia</option>
<option value="Fiji"<?= (@$info->citizenship=="Fiji")?" selected":""?>>Fiji</option>
<option value="Finland"<?= (@$info->citizenship=="Finland")?" selected":""?>>Finland</option>
<option value="France"<?= (@$info->citizenship=="France")?" selected":""?>>France</option>
<option value="French Guiana"<?= (@$info->citizenship=="French Guiana")?" selected":""?>>French Guiana</option>
<option value="French Polynesia"<?= (@$info->citizenship=="French Polynesia")?" selected":""?>>French Polynesia</option>
<option value="Fyr Macedonia"<?= (@$info->citizenship=="Fyr Macedonia")?" selected":""?>>Fyr Macedonia</option>
<option value="Gabon Republic"<?= (@$info->citizenship=="Gabon Republic")?" selected":""?>>Gabon Republic</option>
<option value="Gambia"<?= (@$info->citizenship=="Gambia")?" selected":""?>>Gambia</option>
<option value="Georgia"<?= (@$info->citizenship=="Georgia")?" selected":""?>>Georgia</option>
<option value="Germany, Federal Rebpublic Of"<?= (@$info->citizenship=="Germany, Federal Rebpublic Of")?" selected":""?>>Germany, Federal Rebpublic Of</option>
<option value="Ghana"<?= (@$info->citizenship=="Ghana")?" selected":""?>>Ghana</option>
<option value="Gibraltar"<?= (@$info->citizenship=="Gibraltar")?" selected":""?>>Gibraltar</option>
<option value="Greece"<?= (@$info->citizenship=="Greece")?" selected":""?>>Greece</option>
<option value="Greenland"<?= (@$info->citizenship=="Greenland")?" selected":""?>>Greenland</option>
<option value="Grenada"<?= (@$info->citizenship=="Grenada")?" selected":""?>>Grenada</option>
<option value="Guadeloupe"<?= (@$info->citizenship=="Guadeloupe")?" selected":""?>>Guadeloupe</option>
<option value="Guam"<?= (@$info->citizenship=="Guam")?" selected":""?>>Guam</option>
<option value="Guatemala"<?= (@$info->citizenship=="Guatemala")?" selected":""?>>Guatemala</option>
<option value="Guinea, Equatorial"<?= (@$info->citizenship=="Guinea, Equatorial")?" selected":""?>>Guinea, Equatorial</option>
<option value="Guinea, Republic Of"<?= (@$info->citizenship=="Guinea, Republic Of")?" selected":""?>>Guinea, Republic Of</option>
<option value="Guinea-Bissau"<?= (@$info->citizenship=="Guinea-Bissau")?" selected":""?>>Guinea-Bissau</option>
<option value="Guyana"<?= (@$info->citizenship=="Guyana")?" selected":""?>>Guyana</option>
<option value="Haiti"<?= (@$info->citizenship=="Haiti")?" selected":""?>>Haiti</option>
<option value="Holy See"<?= (@$info->citizenship=="Holy See")?" selected":""?>>Holy See</option>
<option value="Honduras"<?= (@$info->citizenship=="Honduras")?" selected":""?>>Honduras</option>
<option value="Hong Kong"<?= (@$info->citizenship=="Hong Kong")?" selected":""?>>Hong Kong</option>
<option value="Hong Kong Sar"<?= (@$info->citizenship=="Hong Kong Sar")?" selected":""?>>Hong Kong Sar</option>
<option value="Hungary"<?= (@$info->citizenship=="Hungary")?" selected":""?>>Hungary</option>
<option value="Iceland"<?= (@$info->citizenship=="Iceland")?" selected":""?>>Iceland</option>
<option value="India"<?= (@$info->citizenship=="India")?" selected":""?>>India</option>
<option value="Indonesia, Republic Of"<?= (@$info->citizenship=="Indonesia, Republic Of")?" selected":""?>>Indonesia, Republic Of</option>
<option value="Iran"<?= (@$info->citizenship=="Iran")?" selected":""?>>Iran</option>
<option value="Iraq"<?= (@$info->citizenship=="Iraq")?" selected":""?>>Iraq</option>
<option value="Ireland, Republic Of"<?= (@$info->citizenship=="Ireland, Republic Of")?" selected":""?>>Ireland, Republic Of</option>
<option value="Israel"<?= (@$info->citizenship=="Israel")?" selected":""?>>Israel</option>
<option value="Italy"<?= (@$info->citizenship=="Italy")?" selected":""?>>Italy</option>
<option value="Ivory Coast, Republic"<?= (@$info->citizenship=="Ivory Coast, Republic")?" selected":""?>>Ivory Coast, Republic</option>
<option value="Jamaica"<?= (@$info->citizenship=="Jamaica")?" selected":""?>>Jamaica</option>
<option value="Japan"<?= (@$info->citizenship=="Japan")?" selected":""?>>Japan</option>
<option value="Jordan"<?= (@$info->citizenship=="Jordan")?" selected":""?>>Jordan</option>
<option value="Kazakhstan"<?= (@$info->citizenship=="Kazakhstan")?" selected":""?>>Kazakhstan</option>
<option value="Kenya"<?= (@$info->citizenship=="Kenya")?" selected":""?>>Kenya</option>
<option value="Kiribati"<?= (@$info->citizenship=="Kiribati")?" selected":""?>>Kiribati</option>
<option value="Korea (North)"<?= (@$info->citizenship=="Korea (North)")?" selected":""?>>Korea (North)</option>
<option value="Korea, Republic Of"<?= (@$info->citizenship=="Korea, Republic Of")?" selected":""?>>Korea, Republic Of</option>
<option value="Kuwait"<?= (@$info->citizenship=="Kuwait")?" selected":""?>>Kuwait</option>
<option value="Kyrgyzstan"<?= (@$info->citizenship=="Kyrgyzstan")?" selected":""?>>Kyrgyzstan</option>
<option value="Laos"<?= (@$info->citizenship=="Laos")?" selected":""?>>Laos</option>
<option value="Latvia"<?= (@$info->citizenship=="Latvia")?" selected":""?>>Latvia</option>
<option value="Lebanon"<?= (@$info->citizenship=="Lebanon")?" selected":""?>>Lebanon</option>
<option value="Lesotho"<?= (@$info->citizenship=="Lesotho")?" selected":""?>>Lesotho</option>
<option value="Liberia"<?= (@$info->citizenship=="Liberia")?" selected":""?>>Liberia</option>
<option value="Libya"<?= (@$info->citizenship=="Libya")?" selected":""?>>Libya</option>
<option value="Liechtenstein"<?= (@$info->citizenship=="Liechtenstein")?" selected":""?>>Liechtenstein</option>
<option value="Lithuania"<?= (@$info->citizenship=="Lithuania")?" selected":""?>>Lithuania</option>
<option value="Luxembourg"<?= (@$info->citizenship=="Luxembourg")?" selected":""?>>Luxembourg</option>
<option value="Macao"<?= (@$info->citizenship=="Macao")?" selected":""?>>Macao</option>
<option value="Macau SAR"<?= (@$info->citizenship=="Macau SAR")?" selected":""?>>Macau SAR</option>
<option value="Madagascar"<?= (@$info->citizenship=="Madagascar")?" selected":""?>>Madagascar</option>
<option value="Madeira"<?= (@$info->citizenship=="Madeira")?" selected":""?>>Madeira</option>
<option value="Malawi"<?= (@$info->citizenship=="Malawi")?" selected":""?>>Malawi</option>
<option value="Malaysia"<?= (@$info->citizenship=="Malaysia")?" selected":""?>>Malaysia</option>
<option value="Maldives, Republic Of"<?= (@$info->citizenship=="Maldives, Republic Of")?" selected":""?>>Maldives, Republic Of</option>
<option value="Mali, Republic Of"<?= (@$info->citizenship=="Mali, Republic Of")?" selected":""?>>Mali, Republic Of</option>
<option value="Malta"<?= (@$info->citizenship=="Malta")?" selected":""?>>Malta</option>
<option value="Marshall Islands"<?= (@$info->citizenship=="Marshall Islands")?" selected":""?>>Marshall Islands</option>
<option value="Martinique"<?= (@$info->citizenship=="Martinique")?" selected":""?>>Martinique</option>
<option value="Mauritania"<?= (@$info->citizenship=="Mauritania")?" selected":""?>>Mauritania</option>
<option value="Mauritius"<?= (@$info->citizenship=="Mauritius")?" selected":""?>>Mauritius</option>
<option value="Mayotte"<?= (@$info->citizenship=="Mayotte")?" selected":""?>>Mayotte</option>
<option value="Mexico"<?= (@$info->citizenship=="Mexico")?" selected":""?>>Mexico</option>
<option value="Moldova"<?= (@$info->citizenship=="Moldova")?" selected":""?>>Moldova</option>
<option value="Monaco"<?= (@$info->citizenship=="Monaco")?" selected":""?>>Monaco</option>
<option value="Mongolia, People's Republic Of"<?= (@$info->citizenship=="Mongolia, People's Republic Of")?" selected":""?>>Mongolia, People's Republic Of</option>
<option value="Montenegro, Republic Of"<?= (@$info->citizenship=="Montenegro, Republic Of")?" selected":""?>>Montenegro, Republic Of</option>
<option value="Montserrat"<?= (@$info->citizenship=="Montserrat")?" selected":""?>>Montserrat</option>
<option value="Morocco"<?= (@$info->citizenship=="Morocco")?" selected":""?>>Morocco</option>
<option value="Monzambique"<?= (@$info->citizenship=="Monzambique")?" selected":""?>>Monzambique</option>
<option value="Myanmar (Burma)"<?= (@$info->citizenship=="Myanmar (Burma)")?" selected":""?>>Myanmar (Burma)</option>
<option value="Namibia"<?= (@$info->citizenship=="Namibia")?" selected":""?>>Namibia</option>
<option value="Nauru"<?= (@$info->citizenship=="Nauru")?" selected":""?>>Nauru</option>
<option value="Nepal"<?= (@$info->citizenship=="Nepal")?" selected":""?>>Nepal</option>
<option value="Netherlands Antilles, The"<?= (@$info->citizenship=="Netherlands Antilles, The")?" selected":""?>>Netherlands Antilles, The</option>
<option value="Netherlands, The"<?= (@$info->citizenship=="Netherlands, The")?" selected":""?>>Netherlands, The</option>
<option value="Nevis"<?= (@$info->citizenship=="Nevis")?" selected":""?>>Nevis</option>
<option value="New Caledonia"<?= (@$info->citizenship=="New Caledonia")?" selected":""?>>New Caledonia</option>
<option value="New Zealand"<?= (@$info->citizenship=="New Zealand")?" selected":""?>>New Zealand</option>
<option value="Nicaragua"<?= (@$info->citizenship=="Nicaragua")?" selected":""?>>Nicaragua</option>
<option value="Niger, Republic Of The"<?= (@$info->citizenship=="Niger, Republic Of The")?" selected":""?>>Niger, Republic Of The</option>
<option value="Nigeria"<?= (@$info->citizenship=="Nigeria")?" selected":""?>>Nigeria</option>
<option value="Northern Ireland"<?= (@$info->citizenship=="Northern Ireland")?" selected":""?>>Northern Ireland</option>
<option value="Northern Mariana Islands"<?= (@$info->citizenship=="Northern Mariana Islands")?" selected":""?>>Northern Mariana Islands</option>
<option value="Norway"<?= (@$info->citizenship=="Norway")?" selected":""?>>Norway</option>
<option value="Oman"<?= (@$info->citizenship=="Oman")?" selected":""?>>Oman</option>
<option value="Pakistan"<?= (@$info->citizenship=="Pakistan")?" selected":""?>>Pakistan</option>
<option value="Palestinian Autho.Gaza/W Bank"<?= (@$info->citizenship=="Palestinian Autho.Gaza/W Bank")?" selected":""?>>Palestinian Autho.Gaza/W Bank</option>
<option value="Panama, Republic Of"<?= (@$info->citizenship=="Panama, Republic Of")?" selected":""?>>Panama, Republic Of</option>
<option value="Papua New Guinea"<?= (@$info->citizenship=="Papua New Guinea")?" selected":""?>>Papua New Guinea</option>
<option value="Paraguay"<?= (@$info->citizenship=="Paraguay")?" selected":""?>>Paraguay</option>
<option value="Peru"<?= (@$info->citizenship=="Peru")?" selected":""?>>Peru</option>
<option value="Philippines"<?= (@$info->citizenship=="Philippines")?" selected":""?>>Philippines</option>
<option value="Pitcairn Island"<?= (@$info->citizenship=="Pitcairn Island")?" selected":""?>>Pitcairn Island</option>
<option value="poland"<?= (@$info->citizenship=="poland")?" selected":""?>>poland</option>
<option value="Portugal"<?= (@$info->citizenship=="Portugal")?" selected":""?>>Portugal</option>
<option value="Puerto Rico"<?= (@$info->citizenship=="Puerto Rico")?" selected":""?>>Puerto Rico</option>
<option value="Qatar"<?= (@$info->citizenship=="Qatar")?" selected":""?>>Qatar</option>
<option value="Republic Of Kosovo"<?= (@$info->citizenship=="Republic Of Kosovo")?" selected":""?>>Republic Of Kosovo</option>
<option value="Republic Of Palau"<?= (@$info->citizenship=="Republic Of Palau")?" selected":""?>>Republic Of Palau</option>
<option value="Reunion"<?= (@$info->citizenship=="Reunion")?" selected":""?>>Reunion</option>
<option value="Romania"<?= (@$info->citizenship=="Romania")?" selected":""?>>Romania</option>
<option value="Russia"<?= (@$info->citizenship=="Russia")?" selected":""?>>Russia</option>
<option value="Rwanda"<?= (@$info->citizenship=="Rwanda")?" selected":""?>>Rwanda</option>
<option value="Samoa, American"<?= (@$info->citizenship=="Samoa, American")?" selected":""?>>Samoa, American</option>
<option value="Samoa, Western"<?= (@$info->citizenship=="Samoa, Western")?" selected":""?>>Samoa, Western</option>
<option value="San Marino"<?= (@$info->citizenship=="San Marino")?" selected":""?>>San Marino</option>
<option value="Sao Tome E Principe"<?= (@$info->citizenship=="Sao Tome E Principe")?" selected":""?>>Sao Tome E Principe</option>
<option value="Saudi Arabia"<?= (@$info->citizenship=="Saudi Arabia")?" selected":""?>>Saudi Arabia</option>
<option value="Scotland"<?= (@$info->citizenship=="Scotland")?" selected":""?>>Scotland</option>
<option value="Senegal"<?= (@$info->citizenship=="Senegal")?" selected":""?>>Senegal</option>
<option value="Serbia And Montenegro"<?= (@$info->citizenship=="Serbia And Montenegro")?" selected":""?>>Serbia And Montenegro</option>
<option value="Serbia, Republic Of"<?= (@$info->citizenship=="Serbia, Republic Of")?" selected":""?>>Serbia, Republic Of</option>
<option value="Seychelles"<?= (@$info->citizenship=="Seychelles")?" selected":""?>>Seychelles</option>
<option value="Sierra Leone"<?= (@$info->citizenship=="Sierra Leone")?" selected":""?>>Sierra Leone</option>
<option value="Singapore"<?= (@$info->citizenship=="Singapore")?" selected":""?>>Singapore</option>
<option value="Slovak Republic"<?= (@$info->citizenship=="Slovak Republic")?" selected":""?>>Slovak Republic</option>
<option value="Slovenia"<?= (@$info->citizenship=="Slovenia")?" selected":""?>>Slovenia</option>
<option value="Solomons, The"<?= (@$info->citizenship=="Solomons, The")?" selected":""?>>Solomons, The</option>
<option value="Somali Republic"<?= (@$info->citizenship=="Somali Republic")?" selected":""?>>Somali Republic</option>
<option value="South Africa, Republic Of"<?= (@$info->citizenship=="South Africa, Republic Of")?" selected":""?>>South Africa, Republic Of</option>
<option value="Southern Antarctic Territories"<?= (@$info->citizenship=="Southern Antarctic Territories")?" selected":""?>>Southern Antarctic Territories</option>
<option value="Spain"<?= (@$info->citizenship=="Spain")?" selected":""?>>Spain</option>
<option value="Sri Lanka"<?= (@$info->citizenship=="Sri Lanka")?" selected":""?>>Sri Lanka</option>
<option value="St. Helena"<?= (@$info->citizenship=="St. Helena")?" selected":""?>>St. Helena</option>
<option value="St. Kitts-Nevis"<?= (@$info->citizenship=="St. Kitts-Nevis")?" selected":""?>>St. Kitts-Nevis</option>
<option value="St. Lucia"<?= (@$info->citizenship=="St. Lucia")?" selected":""?>>St. Lucia</option>
<option value="St. Pierre Et Miquelon"<?= (@$info->citizenship=="St. Pierre Et Miquelon")?" selected":""?>>St. Pierre Et Miquelon</option>
<option value="St. Vincent and the Grenadines"<?= (@$info->citizenship=="St. Vincent and the Grenadines")?" selected":""?>>St. Vincent and the Grenadines</option>
<option value="Sudan, Democratic Republic Of"<?= (@$info->citizenship=="Sudan, Democratic Republic Of")?" selected":""?>>Sudan, Democratic Republic Of</option>
<option value="Surinam"<?= (@$info->citizenship=="Surinam")?" selected":""?>>Surinam</option>
<option value="Swaziland"<?= (@$info->citizenship=="Swaziland")?" selected":""?>>Swaziland</option>
<option value="Sweden"<?= (@$info->citizenship=="Sweden")?" selected":""?>>Sweden</option>
<option value="Switzerland"<?= (@$info->citizenship=="Switzerland")?" selected":""?>>Switzerland</option>
<option value="Syria"<?= (@$info->citizenship=="Syria")?" selected":""?>>Syria</option>
<option value="Tadjikistan"<?= (@$info->citizenship=="Tadjikistan")?" selected":""?>>Tadjikistan</option>
<option value="Taiwan"<?= (@$info->citizenship=="Taiwan")?" selected":""?>>Taiwan</option>
<option value="Tanzania, United Republic Of"<?= (@$info->citizenship=="Tanzania, United Republic Of")?" selected":""?>>Tanzania, United Republic Of</option>
<option value="Thailand"<?= (@$info->citizenship=="Thailand")?" selected":""?>>Thailand</option>
<option value="Tibet"<?= (@$info->citizenship=="Tibet")?" selected":""?>>Tibet</option>
<option value="Togo, Republic Of"<?= (@$info->citizenship=="Togo, Republic Of")?" selected":""?>>Togo, Republic Of</option>
<option value="Tonga"<?= (@$info->citizenship=="Tonga")?" selected":""?>>Tonga</option>
<option value="Trinidad & Tobago, Republic Of"<?= (@$info->citizenship=="Trinidad & Tobago, Republic Of")?" selected":""?>>Trinidad & Tobago, Republic Of</option>
<option value="Tunisia"<?= (@$info->citizenship=="Tunisia")?" selected":""?>>Tunisia</option>
<option value="Turkey"<?= (@$info->citizenship=="Turkey")?" selected":""?>>Turkey</option>
<option value="Turkmenistan"<?= (@$info->citizenship=="Turkmenistan")?" selected":""?>>Turkmenistan</option>
<option value="Turks And Caicos Islands"<?= (@$info->citizenship=="Turks And Caicos Islands")?" selected":""?>>Turks And Caicos Islands</option>
<option value="Tuvalu"<?= (@$info->citizenship=="Tuvalu")?" selected":""?>>Tuvalu</option>
<option value="Uganda"<?= (@$info->citizenship=="Uganda")?" selected":""?>>Uganda</option>
<option value="Ukraine"<?= (@$info->citizenship=="Ukraine")?" selected":""?>>Ukraine</option>
<option value="Union Of Soviet Socialist Rep"<?= (@$info->citizenship=="Union Of Soviet Socialist Rep")?" selected":""?>>Union Of Soviet Socialist Rep</option>
<option value="united Arab Emirates"<?= (@$info->citizenship=="united Arab Emirates")?" selected":""?>>united Arab Emirates</option>
<option value="United States of America"<?= (@$info->citizenship=="United States of America")?" selected":""?>>United States of America</option>
<option value="Unknown"<?= (@$info->citizenship=="Unknown")?" selected":""?>>Unknown</option>
<option value="Uruguay"<?= (@$info->citizenship=="Uruguay")?" selected":""?>>Uruguay</option>
<option value="Uzbekistan"<?= (@$info->citizenship=="Uzbekistan")?" selected":""?>>Uzbekistan</option>
<option value="Vanuatu"<?= (@$info->citizenship=="Vanuatu")?" selected":""?>>Vanuatu</option>
<option value="Venezuela"<?= (@$info->citizenship=="Venezuela")?" selected":""?>>Venezuela</option>
<option value="Vietnam, Socialist Republic Of"<?= (@$info->citizenship=="Vietnam, Socialist Republic Of")?" selected":""?>>Vietnam, Socialist Republic Of</option>
<option value="Virgin Islands, British"<?= (@$info->citizenship=="Virgin Islands, British")?" selected":""?>>Virgin Islands, British</option>
<option value="Virgin Islands, U.s."<?= (@$info->citizenship=="Virgin Islands, U.s.")?" selected":""?>>Virgin Islands, U.s.</option>
<option value="Wales"<?= (@$info->citizenship=="Wales")?" selected":""?>>Wales</option>
<option value="Wallis And Futuna"<?= (@$info->citizenship=="Wallis And Futuna")?" selected":""?>>Wallis And Futuna</option>
<option value="Western Sahara"<?= (@$info->citizenship=="Western Sahara")?" selected":""?>>Western Sahara</option>
<option value="Yemen, Republic Of"<?= (@$info->citizenship=="Yemen, Republic Of")?" selected":""?>>Yemen, Republic Of</option>
<option value="Yugoslavia"<?= (@$info->citizenship=="Yugoslavia")?" selected":""?>>Yugoslavia</option>
<option value="Zambia"<?= (@$info->citizenship=="Zambia")?" selected":""?>>Zambia</option>
<option value="Zimbabwe"<?= (@$info->citizenship=="Zimbabwe")?" selected":""?>>Zimbabwe</option>
</select></td>
        </tr>
        <tr class="odd">
            <td>7 Current country of residence:</td>
		    <td colspan="4">Country 
		      <select name="current_country">
<option></option>
<option value="Afghanistan"<?= (@$info->current_country=="Afghanistan")?" selected":""?>>Afghanistan</option>
<option value="Albania"<?= (@$info->current_country=="Albania")?" selected":""?>>Albania</option>
<option value="Algeria"<?= (@$info->current_country=="Algeria")?" selected":""?>>Algeria</option>
<option value="Andorra"<?= (@$info->current_country=="Andorra")?" selected":""?>>Andorra</option>
<option value="Angola"<?= (@$info->current_country=="Angola")?" selected":""?>>Angola</option>
<option value="Anguilla"<?= (@$info->current_country=="Anguilla")?" selected":""?>>Anguilla</option>
<option value="Antigua And Barbuda"<?= (@$info->current_country=="Antigua And Barbuda")?" selected":""?>>Antigua And Barbuda</option>
<option value="Argentina"<?= (@$info->current_country=="Argentina")?" selected":""?>>Argentina</option>
<option value="Armenia"<?= (@$info->current_country=="Armenia")?" selected":""?>>Armenia</option>
<option value="Aruba"<?= (@$info->current_country=="Aruba")?" selected":""?>>Aruba</option>
<option value="Australia"<?= (@$info->current_country=="Australia")?" selected":""?>>Australia</option>
<option value="Austria"<?= (@$info->current_country=="Austria")?" selected":""?>>Austria</option>
<option value="Azerbaijan"<?= (@$info->current_country=="Azerbaijan")?" selected":""?>>Azerbaijan</option>
<option value="Azores"<?= (@$info->current_country=="Azores")?" selected":""?>>Azores</option>
<option value="Bahama Islands, The"<?= (@$info->current_country=="Bahama Islands, The")?" selected":""?>>Bahama Islands, The</option>
<option value="Bahrain"<?= (@$info->current_country=="Bahrain")?" selected":""?>>Bahrain</option>
<option value="Bangladesh"<?= (@$info->current_country=="Bangladesh")?" selected":""?>>Bangladesh</option>
<option value="Barbados"<?= (@$info->current_country=="Barbados")?" selected":""?>>Barbados</option>
<option value="Belarus"<?= (@$info->current_country=="Belarus")?" selected":""?>>Belarus</option>
<option value="Belgium"<?= (@$info->current_country=="Belgium")?" selected":""?>>Belgium</option>
<option value="Belize"<?= (@$info->current_country=="Belize")?" selected":""?>>Belize</option>
<option value="Benin, Peoples Republic Of"<?= (@$info->current_country=="Benin, Peoples Republic Of")?" selected":""?>>Benin, Peoples Republic Of</option>
<option value="Bermuda"<?= (@$info->current_country=="Bermuda")?" selected":""?>>Bermuda</option>
<option value="Bhutan"<?= (@$info->current_country=="Bhutan")?" selected":""?>>Bhutan</option>
<option value="Bolivia"<?= (@$info->current_country=="Bolivia")?" selected":""?>>Bolivia</option>
<option value="Bosnia-Hercepovina"<?= (@$info->current_country=="Bosnia-Hercepovina")?" selected":""?>>Bosnia-Hercepovina</option>
<option value="Botswana, Republic Of"<?= (@$info->current_country=="Botswana, Republic Of")?" selected":""?>>Botswana, Republic Of</option>
<option value="Brazil"<?= (@$info->current_country=="Brazil")?" selected":""?>>Brazil</option>
<option value="Brunei"<?= (@$info->current_country=="Brunei")?" selected":""?>>Brunei</option>
<option value="Bulgaria"<?= (@$info->current_country=="Bulgaria")?" selected":""?>>Bulgaria</option>
<option value="Burkina Faso"<?= (@$info->current_country=="Burkina Faso")?" selected":""?>>Burkina Faso</option>
<option value="Burundi"<?= (@$info->current_country=="Burundi")?" selected":""?>>Burundi</option>
<option value="Cambodia"<?= (@$info->current_country=="Cambodia")?" selected":""?>>Cambodia</option>
<option value="Cameroon, Federal Republic Of"<?= (@$info->current_country=="Cameroon, Federal Republic Of")?" selected":""?>>Cameroon, Federal Republic Of</option>
<option value="Canada"<?= (@$info->current_country=="Canada")?" selected":""?>>Canada</option>
<option value="Canary Islands"<?= (@$info->current_country=="Canary Islands")?" selected":""?>>Canary Islands</option>
<option value="Cape Verde Islands"<?= (@$info->current_country=="Cape Verde Islands")?" selected":""?>>Cape Verde Islands</option>
<option value="Cayman Islands"<?= (@$info->current_country=="Cayman Islands")?" selected":""?>>Cayman Islands</option>
<option value="Central Africa Republic"<?= (@$info->current_country=="Central Africa Republic")?" selected":""?>>Central Africa Republic</option>
<option value="Chad, Republic Of"<?= (@$info->current_country=="Chad, Republic Of")?" selected":""?>>Chad, Republic Of</option>
<option value="Channel Islands"<?= (@$info->current_country=="Channel Islands")?" selected":""?>>Channel Islands</option>
<option value="Chile"<?= (@$info->current_country=="Chile")?" selected":""?>>Chile</option>
<option value="China, People's Republic Of"<?= (@$info->current_country=="China, People's Republic Of")?" selected":""?>>China, People's Republic Of</option>
<option value="Colombia"<?= (@$info->current_country=="Colombia")?" selected":""?>>Colombia</option>
<option value="Comoros"<?= (@$info->current_country=="Comoros")?" selected":""?>>Comoros</option>
<option value="Congo, People's Republic Of"<?= (@$info->current_country=="Congo, People's Republic Of")?" selected":""?>>Congo, People's Republic Of</option>
<option value="Congo, Democratic Republic Of"<?= (@$info->current_country=="Congo, Democratic Republic Of")?" selected":""?>>Congo, Democratic Republic Of</option>
<option value="Cook Islands"<?= (@$info->current_country=="Cook Islands")?" selected":""?>>Cook Islands</option>
<option value="Costa Rica"<?= (@$info->current_country=="Costa Rica")?" selected":""?>>Costa Rica</option>
<option value="Croatia"<?= (@$info->current_country=="Croatia")?" selected":""?>>Croatia</option>
<option value="Cuba"<?= (@$info->current_country=="Cuba")?" selected":""?>>Cuba</option>
<option value="Cyprus"<?= (@$info->current_country=="Cyprus")?" selected":""?>>Cyprus</option>
<option value="Czech Republic"<?= (@$info->current_country=="Czech Republic")?" selected":""?>>Czech Republic</option>
<option value="Czechoslovakia"<?= (@$info->current_country=="Czechoslovakia")?" selected":""?>>Czechoslovakia</option>
<option value="Denmark"<?= (@$info->current_country=="Denmark")?" selected":""?>>Denmark</option>
<option value="Djibouti, Republic Of"<?= (@$info->current_country=="Djibouti, Republic Of")?" selected":""?>>Djibouti, Republic Of</option>
<option value="Dominica"<?= (@$info->current_country=="Dominica")?" selected":""?>>Dominica</option>
<option value="Dominican Republic"<?= (@$info->current_country=="Dominican Republic")?" selected":""?>>Dominican Republic</option>
<option value="East Timor"<?= (@$info->current_country=="East Timor")?" selected":""?>>East Timor</option>
<option value="Ecuador"<?= (@$info->current_country=="Ecuador")?" selected":""?>>Ecuador</option>
<option value="Egypt"<?= (@$info->current_country=="Egypt")?" selected":""?>>Egypt</option>
<option value="El Salvador"<?= (@$info->current_country=="El Salvador")?" selected":""?>>El Salvador</option>
<option value="England"<?= (@$info->current_country=="England")?" selected":""?>>England</option>
<option value="Eritrea"<?= (@$info->current_country=="Eritrea")?" selected":""?>>Eritrea</option>
<option value="Estonia"<?= (@$info->current_country=="Estonia")?" selected":""?>>Estonia</option>
<option value="Ethiopia"<?= (@$info->current_country=="Ethiopia")?" selected":""?>>Ethiopia</option>
<option value="Falkland Islands"<?= (@$info->current_country=="Falkland Islands")?" selected":""?>>Falkland Islands</option>
<option value="Federated States of Micronesia"<?= (@$info->current_country=="Federated States of Micronesia")?" selected":""?>>Federated States of Micronesia</option>
<option value="Fiji"<?= (@$info->current_country=="Fiji")?" selected":""?>>Fiji</option>
<option value="Finland"<?= (@$info->current_country=="Finland")?" selected":""?>>Finland</option>
<option value="France"<?= (@$info->current_country=="France")?" selected":""?>>France</option>
<option value="French Guiana"<?= (@$info->current_country=="French Guiana")?" selected":""?>>French Guiana</option>
<option value="French Polynesia"<?= (@$info->current_country=="French Polynesia")?" selected":""?>>French Polynesia</option>
<option value="Fyr Macedonia"<?= (@$info->current_country=="Fyr Macedonia")?" selected":""?>>Fyr Macedonia</option>
<option value="Gabon Republic"<?= (@$info->current_country=="Gabon Republic")?" selected":""?>>Gabon Republic</option>
<option value="Gambia"<?= (@$info->current_country=="Gambia")?" selected":""?>>Gambia</option>
<option value="Georgia"<?= (@$info->current_country=="Georgia")?" selected":""?>>Georgia</option>
<option value="Germany, Federal Rebpublic Of"<?= (@$info->current_country=="Germany, Federal Rebpublic Of")?" selected":""?>>Germany, Federal Rebpublic Of</option>
<option value="Ghana"<?= (@$info->current_country=="Ghana")?" selected":""?>>Ghana</option>
<option value="Gibraltar"<?= (@$info->current_country=="Gibraltar")?" selected":""?>>Gibraltar</option>
<option value="Greece"<?= (@$info->current_country=="Greece")?" selected":""?>>Greece</option>
<option value="Greenland"<?= (@$info->current_country=="Greenland")?" selected":""?>>Greenland</option>
<option value="Grenada"<?= (@$info->current_country=="Grenada")?" selected":""?>>Grenada</option>
<option value="Guadeloupe"<?= (@$info->current_country=="Guadeloupe")?" selected":""?>>Guadeloupe</option>
<option value="Guam"<?= (@$info->current_country=="Guam")?" selected":""?>>Guam</option>
<option value="Guatemala"<?= (@$info->current_country=="Guatemala")?" selected":""?>>Guatemala</option>
<option value="Guinea, Equatorial"<?= (@$info->current_country=="Guinea, Equatorial")?" selected":""?>>Guinea, Equatorial</option>
<option value="Guinea, Republic Of"<?= (@$info->current_country=="Guinea, Republic Of")?" selected":""?>>Guinea, Republic Of</option>
<option value="Guinea-Bissau"<?= (@$info->current_country=="Guinea-Bissau")?" selected":""?>>Guinea-Bissau</option>
<option value="Guyana"<?= (@$info->current_country=="Guyana")?" selected":""?>>Guyana</option>
<option value="Haiti"<?= (@$info->current_country=="Haiti")?" selected":""?>>Haiti</option>
<option value="Holy See"<?= (@$info->current_country=="Holy See")?" selected":""?>>Holy See</option>
<option value="Honduras"<?= (@$info->current_country=="Honduras")?" selected":""?>>Honduras</option>
<option value="Hong Kong"<?= (@$info->current_country=="Hong Kong")?" selected":""?>>Hong Kong</option>
<option value="Hong Kong Sar"<?= (@$info->current_country=="Hong Kong Sar")?" selected":""?>>Hong Kong Sar</option>
<option value="Hungary"<?= (@$info->current_country=="Hungary")?" selected":""?>>Hungary</option>
<option value="Iceland"<?= (@$info->current_country=="Iceland")?" selected":""?>>Iceland</option>
<option value="India"<?= (@$info->current_country=="India")?" selected":""?>>India</option>
<option value="Indonesia, Republic Of"<?= (@$info->current_country=="Indonesia, Republic Of")?" selected":""?>>Indonesia, Republic Of</option>
<option value="Iran"<?= (@$info->current_country=="Iran")?" selected":""?>>Iran</option>
<option value="Iraq"<?= (@$info->current_country=="Iraq")?" selected":""?>>Iraq</option>
<option value="Ireland, Republic Of"<?= (@$info->current_country=="Ireland, Republic Of")?" selected":""?>>Ireland, Republic Of</option>
<option value="Israel"<?= (@$info->current_country=="Israel")?" selected":""?>>Israel</option>
<option value="Italy"<?= (@$info->current_country=="Italy")?" selected":""?>>Italy</option>
<option value="Ivory Coast, Republic"<?= (@$info->current_country=="Ivory Coast, Republic")?" selected":""?>>Ivory Coast, Republic</option>
<option value="Jamaica"<?= (@$info->current_country=="Jamaica")?" selected":""?>>Jamaica</option>
<option value="Japan"<?= (@$info->current_country=="Japan")?" selected":""?>>Japan</option>
<option value="Jordan"<?= (@$info->current_country=="Jordan")?" selected":""?>>Jordan</option>
<option value="Kazakhstan"<?= (@$info->current_country=="Kazakhstan")?" selected":""?>>Kazakhstan</option>
<option value="Kenya"<?= (@$info->current_country=="Kenya")?" selected":""?>>Kenya</option>
<option value="Kiribati"<?= (@$info->current_country=="Kiribati")?" selected":""?>>Kiribati</option>
<option value="Korea (North)"<?= (@$info->current_country=="Korea (North)")?" selected":""?>>Korea (North)</option>
<option value="Korea, Republic Of"<?= (@$info->current_country=="Korea, Republic Of")?" selected":""?>>Korea, Republic Of</option>
<option value="Kuwait"<?= (@$info->current_country=="Kuwait")?" selected":""?>>Kuwait</option>
<option value="Kyrgyzstan"<?= (@$info->current_country=="Kyrgyzstan")?" selected":""?>>Kyrgyzstan</option>
<option value="Laos"<?= (@$info->current_country=="Laos")?" selected":""?>>Laos</option>
<option value="Latvia"<?= (@$info->current_country=="Latvia")?" selected":""?>>Latvia</option>
<option value="Lebanon"<?= (@$info->current_country=="Lebanon")?" selected":""?>>Lebanon</option>
<option value="Lesotho"<?= (@$info->current_country=="Lesotho")?" selected":""?>>Lesotho</option>
<option value="Liberia"<?= (@$info->current_country=="Liberia")?" selected":""?>>Liberia</option>
<option value="Libya"<?= (@$info->current_country=="Libya")?" selected":""?>>Libya</option>
<option value="Liechtenstein"<?= (@$info->current_country=="Liechtenstein")?" selected":""?>>Liechtenstein</option>
<option value="Lithuania"<?= (@$info->current_country=="Lithuania")?" selected":""?>>Lithuania</option>
<option value="Luxembourg"<?= (@$info->current_country=="Luxembourg")?" selected":""?>>Luxembourg</option>
<option value="Macao"<?= (@$info->current_country=="Macao")?" selected":""?>>Macao</option>
<option value="Macau SAR"<?= (@$info->current_country=="Macau SAR")?" selected":""?>>Macau SAR</option>
<option value="Madagascar"<?= (@$info->current_country=="Madagascar")?" selected":""?>>Madagascar</option>
<option value="Madeira"<?= (@$info->current_country=="Madeira")?" selected":""?>>Madeira</option>
<option value="Malawi"<?= (@$info->current_country=="Malawi")?" selected":""?>>Malawi</option>
<option value="Malaysia"<?= (@$info->current_country=="Malaysia")?" selected":""?>>Malaysia</option>
<option value="Maldives, Republic Of"<?= (@$info->current_country=="Maldives, Republic Of")?" selected":""?>>Maldives, Republic Of</option>
<option value="Mali, Republic Of"<?= (@$info->current_country=="Mali, Republic Of")?" selected":""?>>Mali, Republic Of</option>
<option value="Malta"<?= (@$info->current_country=="Malta")?" selected":""?>>Malta</option>
<option value="Marshall Islands"<?= (@$info->current_country=="Marshall Islands")?" selected":""?>>Marshall Islands</option>
<option value="Martinique"<?= (@$info->current_country=="Martinique")?" selected":""?>>Martinique</option>
<option value="Mauritania"<?= (@$info->current_country=="Mauritania")?" selected":""?>>Mauritania</option>
<option value="Mauritius"<?= (@$info->current_country=="Mauritius")?" selected":""?>>Mauritius</option>
<option value="Mayotte"<?= (@$info->current_country=="Mayotte")?" selected":""?>>Mayotte</option>
<option value="Mexico"<?= (@$info->current_country=="Mexico")?" selected":""?>>Mexico</option>
<option value="Moldova"<?= (@$info->current_country=="Moldova")?" selected":""?>>Moldova</option>
<option value="Monaco"<?= (@$info->current_country=="Monaco")?" selected":""?>>Monaco</option>
<option value="Mongolia, People's Republic Of"<?= (@$info->current_country=="Mongolia, People's Republic Of")?" selected":""?>>Mongolia, People's Republic Of</option>
<option value="Montenegro, Republic Of"<?= (@$info->current_country=="Montenegro, Republic Of")?" selected":""?>>Montenegro, Republic Of</option>
<option value="Montserrat"<?= (@$info->current_country=="Montserrat")?" selected":""?>>Montserrat</option>
<option value="Morocco"<?= (@$info->current_country=="Morocco")?" selected":""?>>Morocco</option>
<option value="Monzambique"<?= (@$info->current_country=="Monzambique")?" selected":""?>>Monzambique</option>
<option value="Myanmar (Burma)"<?= (@$info->current_country=="Myanmar (Burma)")?" selected":""?>>Myanmar (Burma)</option>
<option value="Namibia"<?= (@$info->current_country=="Namibia")?" selected":""?>>Namibia</option>
<option value="Nauru"<?= (@$info->current_country=="Nauru")?" selected":""?>>Nauru</option>
<option value="Nepal"<?= (@$info->current_country=="Nepal")?" selected":""?>>Nepal</option>
<option value="Netherlands Antilles, The"<?= (@$info->current_country=="Netherlands Antilles, The")?" selected":""?>>Netherlands Antilles, The</option>
<option value="Netherlands, The"<?= (@$info->current_country=="Netherlands, The")?" selected":""?>>Netherlands, The</option>
<option value="Nevis"<?= (@$info->current_country=="Nevis")?" selected":""?>>Nevis</option>
<option value="New Caledonia"<?= (@$info->current_country=="New Caledonia")?" selected":""?>>New Caledonia</option>
<option value="New Zealand"<?= (@$info->current_country=="New Zealand")?" selected":""?>>New Zealand</option>
<option value="Nicaragua"<?= (@$info->current_country=="Nicaragua")?" selected":""?>>Nicaragua</option>
<option value="Niger, Republic Of The"<?= (@$info->current_country=="Niger, Republic Of The")?" selected":""?>>Niger, Republic Of The</option>
<option value="Nigeria"<?= (@$info->current_country=="Nigeria")?" selected":""?>>Nigeria</option>
<option value="Northern Ireland"<?= (@$info->current_country=="Northern Ireland")?" selected":""?>>Northern Ireland</option>
<option value="Northern Mariana Islands"<?= (@$info->current_country=="Northern Mariana Islands")?" selected":""?>>Northern Mariana Islands</option>
<option value="Norway"<?= (@$info->current_country=="Norway")?" selected":""?>>Norway</option>
<option value="Oman"<?= (@$info->current_country=="Oman")?" selected":""?>>Oman</option>
<option value="Pakistan"<?= (@$info->current_country=="Pakistan")?" selected":""?>>Pakistan</option>
<option value="Palestinian Autho.Gaza/W Bank"<?= (@$info->current_country=="Palestinian Autho.Gaza/W Bank")?" selected":""?>>Palestinian Autho.Gaza/W Bank</option>
<option value="Panama, Republic Of"<?= (@$info->current_country=="Panama, Republic Of")?" selected":""?>>Panama, Republic Of</option>
<option value="Papua New Guinea"<?= (@$info->current_country=="Papua New Guinea")?" selected":""?>>Papua New Guinea</option>
<option value="Paraguay"<?= (@$info->current_country=="Paraguay")?" selected":""?>>Paraguay</option>
<option value="Peru"<?= (@$info->current_country=="Peru")?" selected":""?>>Peru</option>
<option value="Philippines"<?= (@$info->current_country=="Philippines")?" selected":""?>>Philippines</option>
<option value="Pitcairn Island"<?= (@$info->current_country=="Pitcairn Island")?" selected":""?>>Pitcairn Island</option>
<option value="poland"<?= (@$info->current_country=="poland")?" selected":""?>>poland</option>
<option value="Portugal"<?= (@$info->current_country=="Portugal")?" selected":""?>>Portugal</option>
<option value="Puerto Rico"<?= (@$info->current_country=="Puerto Rico")?" selected":""?>>Puerto Rico</option>
<option value="Qatar"<?= (@$info->current_country=="Qatar")?" selected":""?>>Qatar</option>
<option value="Republic Of Kosovo"<?= (@$info->current_country=="Republic Of Kosovo")?" selected":""?>>Republic Of Kosovo</option>
<option value="Republic Of Palau"<?= (@$info->current_country=="Republic Of Palau")?" selected":""?>>Republic Of Palau</option>
<option value="Reunion"<?= (@$info->current_country=="Reunion")?" selected":""?>>Reunion</option>
<option value="Romania"<?= (@$info->current_country=="Romania")?" selected":""?>>Romania</option>
<option value="Russia"<?= (@$info->current_country=="Russia")?" selected":""?>>Russia</option>
<option value="Rwanda"<?= (@$info->current_country=="Rwanda")?" selected":""?>>Rwanda</option>
<option value="Samoa, American"<?= (@$info->current_country=="Samoa, American")?" selected":""?>>Samoa, American</option>
<option value="Samoa, Western"<?= (@$info->current_country=="Samoa, Western")?" selected":""?>>Samoa, Western</option>
<option value="San Marino"<?= (@$info->current_country=="San Marino")?" selected":""?>>San Marino</option>
<option value="Sao Tome E Principe"<?= (@$info->current_country=="Sao Tome E Principe")?" selected":""?>>Sao Tome E Principe</option>
<option value="Saudi Arabia"<?= (@$info->current_country=="Saudi Arabia")?" selected":""?>>Saudi Arabia</option>
<option value="Scotland"<?= (@$info->current_country=="Scotland")?" selected":""?>>Scotland</option>
<option value="Senegal"<?= (@$info->current_country=="Senegal")?" selected":""?>>Senegal</option>
<option value="Serbia And Montenegro"<?= (@$info->current_country=="Serbia And Montenegro")?" selected":""?>>Serbia And Montenegro</option>
<option value="Serbia, Republic Of"<?= (@$info->current_country=="Serbia, Republic Of")?" selected":""?>>Serbia, Republic Of</option>
<option value="Seychelles"<?= (@$info->current_country=="Seychelles")?" selected":""?>>Seychelles</option>
<option value="Sierra Leone"<?= (@$info->current_country=="Sierra Leone")?" selected":""?>>Sierra Leone</option>
<option value="Singapore"<?= (@$info->current_country=="Singapore")?" selected":""?>>Singapore</option>
<option value="Slovak Republic"<?= (@$info->current_country=="Slovak Republic")?" selected":""?>>Slovak Republic</option>
<option value="Slovenia"<?= (@$info->current_country=="Slovenia")?" selected":""?>>Slovenia</option>
<option value="Solomons, The"<?= (@$info->current_country=="Solomons, The")?" selected":""?>>Solomons, The</option>
<option value="Somali Republic"<?= (@$info->current_country=="Somali Republic")?" selected":""?>>Somali Republic</option>
<option value="South Africa, Republic Of"<?= (@$info->current_country=="South Africa, Republic Of")?" selected":""?>>South Africa, Republic Of</option>
<option value="Southern Antarctic Territories"<?= (@$info->current_country=="Southern Antarctic Territories")?" selected":""?>>Southern Antarctic Territories</option>
<option value="Spain"<?= (@$info->current_country=="Spain")?" selected":""?>>Spain</option>
<option value="Sri Lanka"<?= (@$info->current_country=="Sri Lanka")?" selected":""?>>Sri Lanka</option>
<option value="St. Helena"<?= (@$info->current_country=="St. Helena")?" selected":""?>>St. Helena</option>
<option value="St. Kitts-Nevis"<?= (@$info->current_country=="St. Kitts-Nevis")?" selected":""?>>St. Kitts-Nevis</option>
<option value="St. Lucia"<?= (@$info->current_country=="St. Lucia")?" selected":""?>>St. Lucia</option>
<option value="St. Pierre Et Miquelon"<?= (@$info->current_country=="St. Pierre Et Miquelon")?" selected":""?>>St. Pierre Et Miquelon</option>
<option value="St. Vincent and the Grenadines"<?= (@$info->current_country=="St. Vincent and the Grenadines")?" selected":""?>>St. Vincent and the Grenadines</option>
<option value="Sudan, Democratic Republic Of"<?= (@$info->current_country=="Sudan, Democratic Republic Of")?" selected":""?>>Sudan, Democratic Republic Of</option>
<option value="Surinam"<?= (@$info->current_country=="Surinam")?" selected":""?>>Surinam</option>
<option value="Swaziland"<?= (@$info->current_country=="Swaziland")?" selected":""?>>Swaziland</option>
<option value="Sweden"<?= (@$info->current_country=="Sweden")?" selected":""?>>Sweden</option>
<option value="Switzerland"<?= (@$info->current_country=="Switzerland")?" selected":""?>>Switzerland</option>
<option value="Syria"<?= (@$info->current_country=="Syria")?" selected":""?>>Syria</option>
<option value="Tadjikistan"<?= (@$info->current_country=="Tadjikistan")?" selected":""?>>Tadjikistan</option>
<option value="Taiwan"<?= (@$info->current_country=="Taiwan")?" selected":""?>>Taiwan</option>
<option value="Tanzania, United Republic Of"<?= (@$info->current_country=="Tanzania, United Republic Of")?" selected":""?>>Tanzania, United Republic Of</option>
<option value="Thailand"<?= (@$info->current_country=="Thailand")?" selected":""?>>Thailand</option>
<option value="Tibet"<?= (@$info->current_country=="Tibet")?" selected":""?>>Tibet</option>
<option value="Togo, Republic Of"<?= (@$info->current_country=="Togo, Republic Of")?" selected":""?>>Togo, Republic Of</option>
<option value="Tonga"<?= (@$info->current_country=="Tonga")?" selected":""?>>Tonga</option>
<option value="Trinidad & Tobago, Republic Of"<?= (@$info->current_country=="Trinidad & Tobago, Republic Of")?" selected":""?>>Trinidad & Tobago, Republic Of</option>
<option value="Tunisia"<?= (@$info->current_country=="Tunisia")?" selected":""?>>Tunisia</option>
<option value="Turkey"<?= (@$info->current_country=="Turkey")?" selected":""?>>Turkey</option>
<option value="Turkmenistan"<?= (@$info->current_country=="Turkmenistan")?" selected":""?>>Turkmenistan</option>
<option value="Turks And Caicos Islands"<?= (@$info->current_country=="Turks And Caicos Islands")?" selected":""?>>Turks And Caicos Islands</option>
<option value="Tuvalu"<?= (@$info->current_country=="Tuvalu")?" selected":""?>>Tuvalu</option>
<option value="Uganda"<?= (@$info->current_country=="Uganda")?" selected":""?>>Uganda</option>
<option value="Ukraine"<?= (@$info->current_country=="Ukraine")?" selected":""?>>Ukraine</option>
<option value="Union Of Soviet Socialist Rep"<?= (@$info->current_country=="Union Of Soviet Socialist Rep")?" selected":""?>>Union Of Soviet Socialist Rep</option>
<option value="united Arab Emirates"<?= (@$info->current_country=="united Arab Emirates")?" selected":""?>>united Arab Emirates</option>
<option value="United States of America"<?= (@$info->current_country=="United States of America")?" selected":""?>>United States of America</option>
<option value="Unknown"<?= (@$info->current_country=="Unknown")?" selected":""?>>Unknown</option>
<option value="Uruguay"<?= (@$info->current_country=="Uruguay")?" selected":""?>>Uruguay</option>
<option value="Uzbekistan"<?= (@$info->current_country=="Uzbekistan")?" selected":""?>>Uzbekistan</option>
<option value="Vanuatu"<?= (@$info->current_country=="Vanuatu")?" selected":""?>>Vanuatu</option>
<option value="Venezuela"<?= (@$info->current_country=="Venezuela")?" selected":""?>>Venezuela</option>
<option value="Vietnam, Socialist Republic Of"<?= (@$info->current_country=="Vietnam, Socialist Republic Of")?" selected":""?>>Vietnam, Socialist Republic Of</option>
<option value="Virgin Islands, British"<?= (@$info->current_country=="Virgin Islands, British")?" selected":""?>>Virgin Islands, British</option>
<option value="Virgin Islands, U.s."<?= (@$info->current_country=="Virgin Islands, U.s.")?" selected":""?>>Virgin Islands, U.s.</option>
<option value="Wales"<?= (@$info->current_country=="Wales")?" selected":""?>>Wales</option>
<option value="Wallis And Futuna"<?= (@$info->current_country=="Wallis And Futuna")?" selected":""?>>Wallis And Futuna</option>
<option value="Western Sahara"<?= (@$info->current_country=="Western Sahara")?" selected":""?>>Western Sahara</option>
<option value="Yemen, Republic Of"<?= (@$info->current_country=="Yemen, Republic Of")?" selected":""?>>Yemen, Republic Of</option>
<option value="Yugoslavia"<?= (@$info->current_country=="Yugoslavia")?" selected":""?>>Yugoslavia</option>
<option value="Zambia"<?= (@$info->current_country=="Zambia")?" selected":""?>>Zambia</option>
<option value="Zimbabwe"<?= (@$info->current_country=="Zimbabwe")?" selected":""?>>Zimbabwe</option>
</select>		      
		       Status 
		       <select name="current_status">
<option></option>
<option value="Citizen"<?= (@$info->current_status=="Citizen")?" selected":""?>>Citizen</option>
<option value="Permanent resident"<?= (@$info->current_status=="Permanent resident")?" selected":""?>>Permanent resident</option>
<option value="Visitor"<?= (@$info->current_status=="Visitor")?" selected":""?>>Visitor</option>
<option value="Worker"<?= (@$info->current_status=="Worker")?" selected":""?>>Worker</option>
<option value="Student"<?= (@$info->current_status=="Student")?" selected":""?>>Student</option>
<option value="Other"<?= (@$info->current_status=="Other")?" selected":""?>>Other</option>
<option value="Protected Person"<?= (@$info->current_status=="Protected Person")?" selected":""?>>Protected Person</option>
<option value="Refugee Claimant"<?= (@$info->current_status=="Refugee Claimant")?" selected":""?>>Refugee Claimant</option>			</select>		       
		        <br />
		        Other 
	           <input type="text" name="current_other" value="<?= @$info->current_other?>" />
	           <br />
	           From 
	           <input type="text" name="current_from" value="<?= @$info->current_from?>" id="current_from" />
YYYY-MM-DD To 
<input type="text" name="current_to" value="<?= @$info->current_to?>" id="current_to" />
YYYY-MM-DD</td>
        </tr>
        <tr class="even">
            <td colspan="4">8 Previous countries of residence: During the past five years have you lived in any country other than your country of citizenship or your current country of residence (indicated above) for more than six months?</td>
            <td>
			<input type="radio" name="is_pre_residence" value="0" <?= (@$info->is_pre_residence==0)?'checked':''?> />No 
        	<input type="radio" name="is_pre_residence" value="1" <?= (@$info->is_pre_residence==1)?'checked':''?> />Yes</td>
        </tr>
        <tr class="odd">
            <td colspan="5">Country
              <select name="pre_country1">
<option></option>
<option value="Afghanistan"<?= (@$info->pre_country1=="Afghanistan")?" selected":""?>>Afghanistan</option>
<option value="Albania"<?= (@$info->pre_country1=="Albania")?" selected":""?>>Albania</option>
<option value="Algeria"<?= (@$info->pre_country1=="Algeria")?" selected":""?>>Algeria</option>
<option value="Andorra"<?= (@$info->pre_country1=="Andorra")?" selected":""?>>Andorra</option>
<option value="Angola"<?= (@$info->pre_country1=="Angola")?" selected":""?>>Angola</option>
<option value="Anguilla"<?= (@$info->pre_country1=="Anguilla")?" selected":""?>>Anguilla</option>
<option value="Antigua And Barbuda"<?= (@$info->pre_country1=="Antigua And Barbuda")?" selected":""?>>Antigua And Barbuda</option>
<option value="Argentina"<?= (@$info->pre_country1=="Argentina")?" selected":""?>>Argentina</option>
<option value="Armenia"<?= (@$info->pre_country1=="Armenia")?" selected":""?>>Armenia</option>
<option value="Aruba"<?= (@$info->pre_country1=="Aruba")?" selected":""?>>Aruba</option>
<option value="Australia"<?= (@$info->pre_country1=="Australia")?" selected":""?>>Australia</option>
<option value="Austria"<?= (@$info->pre_country1=="Austria")?" selected":""?>>Austria</option>
<option value="Azerbaijan"<?= (@$info->pre_country1=="Azerbaijan")?" selected":""?>>Azerbaijan</option>
<option value="Azores"<?= (@$info->pre_country1=="Azores")?" selected":""?>>Azores</option>
<option value="Bahama Islands, The"<?= (@$info->pre_country1=="Bahama Islands, The")?" selected":""?>>Bahama Islands, The</option>
<option value="Bahrain"<?= (@$info->pre_country1=="Bahrain")?" selected":""?>>Bahrain</option>
<option value="Bangladesh"<?= (@$info->pre_country1=="Bangladesh")?" selected":""?>>Bangladesh</option>
<option value="Barbados"<?= (@$info->pre_country1=="Barbados")?" selected":""?>>Barbados</option>
<option value="Belarus"<?= (@$info->pre_country1=="Belarus")?" selected":""?>>Belarus</option>
<option value="Belgium"<?= (@$info->pre_country1=="Belgium")?" selected":""?>>Belgium</option>
<option value="Belize"<?= (@$info->pre_country1=="Belize")?" selected":""?>>Belize</option>
<option value="Benin, Peoples Republic Of"<?= (@$info->pre_country1=="Benin, Peoples Republic Of")?" selected":""?>>Benin, Peoples Republic Of</option>
<option value="Bermuda"<?= (@$info->pre_country1=="Bermuda")?" selected":""?>>Bermuda</option>
<option value="Bhutan"<?= (@$info->pre_country1=="Bhutan")?" selected":""?>>Bhutan</option>
<option value="Bolivia"<?= (@$info->pre_country1=="Bolivia")?" selected":""?>>Bolivia</option>
<option value="Bosnia-Hercepovina"<?= (@$info->pre_country1=="Bosnia-Hercepovina")?" selected":""?>>Bosnia-Hercepovina</option>
<option value="Botswana, Republic Of"<?= (@$info->pre_country1=="Botswana, Republic Of")?" selected":""?>>Botswana, Republic Of</option>
<option value="Brazil"<?= (@$info->pre_country1=="Brazil")?" selected":""?>>Brazil</option>
<option value="Brunei"<?= (@$info->pre_country1=="Brunei")?" selected":""?>>Brunei</option>
<option value="Bulgaria"<?= (@$info->pre_country1=="Bulgaria")?" selected":""?>>Bulgaria</option>
<option value="Burkina Faso"<?= (@$info->pre_country1=="Burkina Faso")?" selected":""?>>Burkina Faso</option>
<option value="Burundi"<?= (@$info->pre_country1=="Burundi")?" selected":""?>>Burundi</option>
<option value="Cambodia"<?= (@$info->pre_country1=="Cambodia")?" selected":""?>>Cambodia</option>
<option value="Cameroon, Federal Republic Of"<?= (@$info->pre_country1=="Cameroon, Federal Republic Of")?" selected":""?>>Cameroon, Federal Republic Of</option>
<option value="Canada"<?= (@$info->pre_country1=="Canada")?" selected":""?>>Canada</option>
<option value="Canary Islands"<?= (@$info->pre_country1=="Canary Islands")?" selected":""?>>Canary Islands</option>
<option value="Cape Verde Islands"<?= (@$info->pre_country1=="Cape Verde Islands")?" selected":""?>>Cape Verde Islands</option>
<option value="Cayman Islands"<?= (@$info->pre_country1=="Cayman Islands")?" selected":""?>>Cayman Islands</option>
<option value="Central Africa Republic"<?= (@$info->pre_country1=="Central Africa Republic")?" selected":""?>>Central Africa Republic</option>
<option value="Chad, Republic Of"<?= (@$info->pre_country1=="Chad, Republic Of")?" selected":""?>>Chad, Republic Of</option>
<option value="Channel Islands"<?= (@$info->pre_country1=="Channel Islands")?" selected":""?>>Channel Islands</option>
<option value="Chile"<?= (@$info->pre_country1=="Chile")?" selected":""?>>Chile</option>
<option value="China, People's Republic Of"<?= (@$info->pre_country1=="China, People's Republic Of")?" selected":""?>>China, People's Republic Of</option>
<option value="Colombia"<?= (@$info->pre_country1=="Colombia")?" selected":""?>>Colombia</option>
<option value="Comoros"<?= (@$info->pre_country1=="Comoros")?" selected":""?>>Comoros</option>
<option value="Congo, People's Republic Of"<?= (@$info->pre_country1=="Congo, People's Republic Of")?" selected":""?>>Congo, People's Republic Of</option>
<option value="Congo, Democratic Republic Of"<?= (@$info->pre_country1=="Congo, Democratic Republic Of")?" selected":""?>>Congo, Democratic Republic Of</option>
<option value="Cook Islands"<?= (@$info->pre_country1=="Cook Islands")?" selected":""?>>Cook Islands</option>
<option value="Costa Rica"<?= (@$info->pre_country1=="Costa Rica")?" selected":""?>>Costa Rica</option>
<option value="Croatia"<?= (@$info->pre_country1=="Croatia")?" selected":""?>>Croatia</option>
<option value="Cuba"<?= (@$info->pre_country1=="Cuba")?" selected":""?>>Cuba</option>
<option value="Cyprus"<?= (@$info->pre_country1=="Cyprus")?" selected":""?>>Cyprus</option>
<option value="Czech Republic"<?= (@$info->pre_country1=="Czech Republic")?" selected":""?>>Czech Republic</option>
<option value="Czechoslovakia"<?= (@$info->pre_country1=="Czechoslovakia")?" selected":""?>>Czechoslovakia</option>
<option value="Denmark"<?= (@$info->pre_country1=="Denmark")?" selected":""?>>Denmark</option>
<option value="Djibouti, Republic Of"<?= (@$info->pre_country1=="Djibouti, Republic Of")?" selected":""?>>Djibouti, Republic Of</option>
<option value="Dominica"<?= (@$info->pre_country1=="Dominica")?" selected":""?>>Dominica</option>
<option value="Dominican Republic"<?= (@$info->pre_country1=="Dominican Republic")?" selected":""?>>Dominican Republic</option>
<option value="East Timor"<?= (@$info->pre_country1=="East Timor")?" selected":""?>>East Timor</option>
<option value="Ecuador"<?= (@$info->pre_country1=="Ecuador")?" selected":""?>>Ecuador</option>
<option value="Egypt"<?= (@$info->pre_country1=="Egypt")?" selected":""?>>Egypt</option>
<option value="El Salvador"<?= (@$info->pre_country1=="El Salvador")?" selected":""?>>El Salvador</option>
<option value="England"<?= (@$info->pre_country1=="England")?" selected":""?>>England</option>
<option value="Eritrea"<?= (@$info->pre_country1=="Eritrea")?" selected":""?>>Eritrea</option>
<option value="Estonia"<?= (@$info->pre_country1=="Estonia")?" selected":""?>>Estonia</option>
<option value="Ethiopia"<?= (@$info->pre_country1=="Ethiopia")?" selected":""?>>Ethiopia</option>
<option value="Falkland Islands"<?= (@$info->pre_country1=="Falkland Islands")?" selected":""?>>Falkland Islands</option>
<option value="Federated States of Micronesia"<?= (@$info->pre_country1=="Federated States of Micronesia")?" selected":""?>>Federated States of Micronesia</option>
<option value="Fiji"<?= (@$info->pre_country1=="Fiji")?" selected":""?>>Fiji</option>
<option value="Finland"<?= (@$info->pre_country1=="Finland")?" selected":""?>>Finland</option>
<option value="France"<?= (@$info->pre_country1=="France")?" selected":""?>>France</option>
<option value="French Guiana"<?= (@$info->pre_country1=="French Guiana")?" selected":""?>>French Guiana</option>
<option value="French Polynesia"<?= (@$info->pre_country1=="French Polynesia")?" selected":""?>>French Polynesia</option>
<option value="Fyr Macedonia"<?= (@$info->pre_country1=="Fyr Macedonia")?" selected":""?>>Fyr Macedonia</option>
<option value="Gabon Republic"<?= (@$info->pre_country1=="Gabon Republic")?" selected":""?>>Gabon Republic</option>
<option value="Gambia"<?= (@$info->pre_country1=="Gambia")?" selected":""?>>Gambia</option>
<option value="Georgia"<?= (@$info->pre_country1=="Georgia")?" selected":""?>>Georgia</option>
<option value="Germany, Federal Rebpublic Of"<?= (@$info->pre_country1=="Germany, Federal Rebpublic Of")?" selected":""?>>Germany, Federal Rebpublic Of</option>
<option value="Ghana"<?= (@$info->pre_country1=="Ghana")?" selected":""?>>Ghana</option>
<option value="Gibraltar"<?= (@$info->pre_country1=="Gibraltar")?" selected":""?>>Gibraltar</option>
<option value="Greece"<?= (@$info->pre_country1=="Greece")?" selected":""?>>Greece</option>
<option value="Greenland"<?= (@$info->pre_country1=="Greenland")?" selected":""?>>Greenland</option>
<option value="Grenada"<?= (@$info->pre_country1=="Grenada")?" selected":""?>>Grenada</option>
<option value="Guadeloupe"<?= (@$info->pre_country1=="Guadeloupe")?" selected":""?>>Guadeloupe</option>
<option value="Guam"<?= (@$info->pre_country1=="Guam")?" selected":""?>>Guam</option>
<option value="Guatemala"<?= (@$info->pre_country1=="Guatemala")?" selected":""?>>Guatemala</option>
<option value="Guinea, Equatorial"<?= (@$info->pre_country1=="Guinea, Equatorial")?" selected":""?>>Guinea, Equatorial</option>
<option value="Guinea, Republic Of"<?= (@$info->pre_country1=="Guinea, Republic Of")?" selected":""?>>Guinea, Republic Of</option>
<option value="Guinea-Bissau"<?= (@$info->pre_country1=="Guinea-Bissau")?" selected":""?>>Guinea-Bissau</option>
<option value="Guyana"<?= (@$info->pre_country1=="Guyana")?" selected":""?>>Guyana</option>
<option value="Haiti"<?= (@$info->pre_country1=="Haiti")?" selected":""?>>Haiti</option>
<option value="Holy See"<?= (@$info->pre_country1=="Holy See")?" selected":""?>>Holy See</option>
<option value="Honduras"<?= (@$info->pre_country1=="Honduras")?" selected":""?>>Honduras</option>
<option value="Hong Kong"<?= (@$info->pre_country1=="Hong Kong")?" selected":""?>>Hong Kong</option>
<option value="Hong Kong Sar"<?= (@$info->pre_country1=="Hong Kong Sar")?" selected":""?>>Hong Kong Sar</option>
<option value="Hungary"<?= (@$info->pre_country1=="Hungary")?" selected":""?>>Hungary</option>
<option value="Iceland"<?= (@$info->pre_country1=="Iceland")?" selected":""?>>Iceland</option>
<option value="India"<?= (@$info->pre_country1=="India")?" selected":""?>>India</option>
<option value="Indonesia, Republic Of"<?= (@$info->pre_country1=="Indonesia, Republic Of")?" selected":""?>>Indonesia, Republic Of</option>
<option value="Iran"<?= (@$info->pre_country1=="Iran")?" selected":""?>>Iran</option>
<option value="Iraq"<?= (@$info->pre_country1=="Iraq")?" selected":""?>>Iraq</option>
<option value="Ireland, Republic Of"<?= (@$info->pre_country1=="Ireland, Republic Of")?" selected":""?>>Ireland, Republic Of</option>
<option value="Israel"<?= (@$info->pre_country1=="Israel")?" selected":""?>>Israel</option>
<option value="Italy"<?= (@$info->pre_country1=="Italy")?" selected":""?>>Italy</option>
<option value="Ivory Coast, Republic"<?= (@$info->pre_country1=="Ivory Coast, Republic")?" selected":""?>>Ivory Coast, Republic</option>
<option value="Jamaica"<?= (@$info->pre_country1=="Jamaica")?" selected":""?>>Jamaica</option>
<option value="Japan"<?= (@$info->pre_country1=="Japan")?" selected":""?>>Japan</option>
<option value="Jordan"<?= (@$info->pre_country1=="Jordan")?" selected":""?>>Jordan</option>
<option value="Kazakhstan"<?= (@$info->pre_country1=="Kazakhstan")?" selected":""?>>Kazakhstan</option>
<option value="Kenya"<?= (@$info->pre_country1=="Kenya")?" selected":""?>>Kenya</option>
<option value="Kiribati"<?= (@$info->pre_country1=="Kiribati")?" selected":""?>>Kiribati</option>
<option value="Korea (North)"<?= (@$info->pre_country1=="Korea (North)")?" selected":""?>>Korea (North)</option>
<option value="Korea, Republic Of"<?= (@$info->pre_country1=="Korea, Republic Of")?" selected":""?>>Korea, Republic Of</option>
<option value="Kuwait"<?= (@$info->pre_country1=="Kuwait")?" selected":""?>>Kuwait</option>
<option value="Kyrgyzstan"<?= (@$info->pre_country1=="Kyrgyzstan")?" selected":""?>>Kyrgyzstan</option>
<option value="Laos"<?= (@$info->pre_country1=="Laos")?" selected":""?>>Laos</option>
<option value="Latvia"<?= (@$info->pre_country1=="Latvia")?" selected":""?>>Latvia</option>
<option value="Lebanon"<?= (@$info->pre_country1=="Lebanon")?" selected":""?>>Lebanon</option>
<option value="Lesotho"<?= (@$info->pre_country1=="Lesotho")?" selected":""?>>Lesotho</option>
<option value="Liberia"<?= (@$info->pre_country1=="Liberia")?" selected":""?>>Liberia</option>
<option value="Libya"<?= (@$info->pre_country1=="Libya")?" selected":""?>>Libya</option>
<option value="Liechtenstein"<?= (@$info->pre_country1=="Liechtenstein")?" selected":""?>>Liechtenstein</option>
<option value="Lithuania"<?= (@$info->pre_country1=="Lithuania")?" selected":""?>>Lithuania</option>
<option value="Luxembourg"<?= (@$info->pre_country1=="Luxembourg")?" selected":""?>>Luxembourg</option>
<option value="Macao"<?= (@$info->pre_country1=="Macao")?" selected":""?>>Macao</option>
<option value="Macau SAR"<?= (@$info->pre_country1=="Macau SAR")?" selected":""?>>Macau SAR</option>
<option value="Madagascar"<?= (@$info->pre_country1=="Madagascar")?" selected":""?>>Madagascar</option>
<option value="Madeira"<?= (@$info->pre_country1=="Madeira")?" selected":""?>>Madeira</option>
<option value="Malawi"<?= (@$info->pre_country1=="Malawi")?" selected":""?>>Malawi</option>
<option value="Malaysia"<?= (@$info->pre_country1=="Malaysia")?" selected":""?>>Malaysia</option>
<option value="Maldives, Republic Of"<?= (@$info->pre_country1=="Maldives, Republic Of")?" selected":""?>>Maldives, Republic Of</option>
<option value="Mali, Republic Of"<?= (@$info->pre_country1=="Mali, Republic Of")?" selected":""?>>Mali, Republic Of</option>
<option value="Malta"<?= (@$info->pre_country1=="Malta")?" selected":""?>>Malta</option>
<option value="Marshall Islands"<?= (@$info->pre_country1=="Marshall Islands")?" selected":""?>>Marshall Islands</option>
<option value="Martinique"<?= (@$info->pre_country1=="Martinique")?" selected":""?>>Martinique</option>
<option value="Mauritania"<?= (@$info->pre_country1=="Mauritania")?" selected":""?>>Mauritania</option>
<option value="Mauritius"<?= (@$info->pre_country1=="Mauritius")?" selected":""?>>Mauritius</option>
<option value="Mayotte"<?= (@$info->pre_country1=="Mayotte")?" selected":""?>>Mayotte</option>
<option value="Mexico"<?= (@$info->pre_country1=="Mexico")?" selected":""?>>Mexico</option>
<option value="Moldova"<?= (@$info->pre_country1=="Moldova")?" selected":""?>>Moldova</option>
<option value="Monaco"<?= (@$info->pre_country1=="Monaco")?" selected":""?>>Monaco</option>
<option value="Mongolia, People's Republic Of"<?= (@$info->pre_country1=="Mongolia, People's Republic Of")?" selected":""?>>Mongolia, People's Republic Of</option>
<option value="Montenegro, Republic Of"<?= (@$info->pre_country1=="Montenegro, Republic Of")?" selected":""?>>Montenegro, Republic Of</option>
<option value="Montserrat"<?= (@$info->pre_country1=="Montserrat")?" selected":""?>>Montserrat</option>
<option value="Morocco"<?= (@$info->pre_country1=="Morocco")?" selected":""?>>Morocco</option>
<option value="Monzambique"<?= (@$info->pre_country1=="Monzambique")?" selected":""?>>Monzambique</option>
<option value="Myanmar (Burma)"<?= (@$info->pre_country1=="Myanmar (Burma)")?" selected":""?>>Myanmar (Burma)</option>
<option value="Namibia"<?= (@$info->pre_country1=="Namibia")?" selected":""?>>Namibia</option>
<option value="Nauru"<?= (@$info->pre_country1=="Nauru")?" selected":""?>>Nauru</option>
<option value="Nepal"<?= (@$info->pre_country1=="Nepal")?" selected":""?>>Nepal</option>
<option value="Netherlands Antilles, The"<?= (@$info->pre_country1=="Netherlands Antilles, The")?" selected":""?>>Netherlands Antilles, The</option>
<option value="Netherlands, The"<?= (@$info->pre_country1=="Netherlands, The")?" selected":""?>>Netherlands, The</option>
<option value="Nevis"<?= (@$info->pre_country1=="Nevis")?" selected":""?>>Nevis</option>
<option value="New Caledonia"<?= (@$info->pre_country1=="New Caledonia")?" selected":""?>>New Caledonia</option>
<option value="New Zealand"<?= (@$info->pre_country1=="New Zealand")?" selected":""?>>New Zealand</option>
<option value="Nicaragua"<?= (@$info->pre_country1=="Nicaragua")?" selected":""?>>Nicaragua</option>
<option value="Niger, Republic Of The"<?= (@$info->pre_country1=="Niger, Republic Of The")?" selected":""?>>Niger, Republic Of The</option>
<option value="Nigeria"<?= (@$info->pre_country1=="Nigeria")?" selected":""?>>Nigeria</option>
<option value="Northern Ireland"<?= (@$info->pre_country1=="Northern Ireland")?" selected":""?>>Northern Ireland</option>
<option value="Northern Mariana Islands"<?= (@$info->pre_country1=="Northern Mariana Islands")?" selected":""?>>Northern Mariana Islands</option>
<option value="Norway"<?= (@$info->pre_country1=="Norway")?" selected":""?>>Norway</option>
<option value="Oman"<?= (@$info->pre_country1=="Oman")?" selected":""?>>Oman</option>
<option value="Pakistan"<?= (@$info->pre_country1=="Pakistan")?" selected":""?>>Pakistan</option>
<option value="Palestinian Autho.Gaza/W Bank"<?= (@$info->pre_country1=="Palestinian Autho.Gaza/W Bank")?" selected":""?>>Palestinian Autho.Gaza/W Bank</option>
<option value="Panama, Republic Of"<?= (@$info->pre_country1=="Panama, Republic Of")?" selected":""?>>Panama, Republic Of</option>
<option value="Papua New Guinea"<?= (@$info->pre_country1=="Papua New Guinea")?" selected":""?>>Papua New Guinea</option>
<option value="Paraguay"<?= (@$info->pre_country1=="Paraguay")?" selected":""?>>Paraguay</option>
<option value="Peru"<?= (@$info->pre_country1=="Peru")?" selected":""?>>Peru</option>
<option value="Philippines"<?= (@$info->pre_country1=="Philippines")?" selected":""?>>Philippines</option>
<option value="Pitcairn Island"<?= (@$info->pre_country1=="Pitcairn Island")?" selected":""?>>Pitcairn Island</option>
<option value="poland"<?= (@$info->pre_country1=="poland")?" selected":""?>>poland</option>
<option value="Portugal"<?= (@$info->pre_country1=="Portugal")?" selected":""?>>Portugal</option>
<option value="Puerto Rico"<?= (@$info->pre_country1=="Puerto Rico")?" selected":""?>>Puerto Rico</option>
<option value="Qatar"<?= (@$info->pre_country1=="Qatar")?" selected":""?>>Qatar</option>
<option value="Republic Of Kosovo"<?= (@$info->pre_country1=="Republic Of Kosovo")?" selected":""?>>Republic Of Kosovo</option>
<option value="Republic Of Palau"<?= (@$info->pre_country1=="Republic Of Palau")?" selected":""?>>Republic Of Palau</option>
<option value="Reunion"<?= (@$info->pre_country1=="Reunion")?" selected":""?>>Reunion</option>
<option value="Romania"<?= (@$info->pre_country1=="Romania")?" selected":""?>>Romania</option>
<option value="Russia"<?= (@$info->pre_country1=="Russia")?" selected":""?>>Russia</option>
<option value="Rwanda"<?= (@$info->pre_country1=="Rwanda")?" selected":""?>>Rwanda</option>
<option value="Samoa, American"<?= (@$info->pre_country1=="Samoa, American")?" selected":""?>>Samoa, American</option>
<option value="Samoa, Western"<?= (@$info->pre_country1=="Samoa, Western")?" selected":""?>>Samoa, Western</option>
<option value="San Marino"<?= (@$info->pre_country1=="San Marino")?" selected":""?>>San Marino</option>
<option value="Sao Tome E Principe"<?= (@$info->pre_country1=="Sao Tome E Principe")?" selected":""?>>Sao Tome E Principe</option>
<option value="Saudi Arabia"<?= (@$info->pre_country1=="Saudi Arabia")?" selected":""?>>Saudi Arabia</option>
<option value="Scotland"<?= (@$info->pre_country1=="Scotland")?" selected":""?>>Scotland</option>
<option value="Senegal"<?= (@$info->pre_country1=="Senegal")?" selected":""?>>Senegal</option>
<option value="Serbia And Montenegro"<?= (@$info->pre_country1=="Serbia And Montenegro")?" selected":""?>>Serbia And Montenegro</option>
<option value="Serbia, Republic Of"<?= (@$info->pre_country1=="Serbia, Republic Of")?" selected":""?>>Serbia, Republic Of</option>
<option value="Seychelles"<?= (@$info->pre_country1=="Seychelles")?" selected":""?>>Seychelles</option>
<option value="Sierra Leone"<?= (@$info->pre_country1=="Sierra Leone")?" selected":""?>>Sierra Leone</option>
<option value="Singapore"<?= (@$info->pre_country1=="Singapore")?" selected":""?>>Singapore</option>
<option value="Slovak Republic"<?= (@$info->pre_country1=="Slovak Republic")?" selected":""?>>Slovak Republic</option>
<option value="Slovenia"<?= (@$info->pre_country1=="Slovenia")?" selected":""?>>Slovenia</option>
<option value="Solomons, The"<?= (@$info->pre_country1=="Solomons, The")?" selected":""?>>Solomons, The</option>
<option value="Somali Republic"<?= (@$info->pre_country1=="Somali Republic")?" selected":""?>>Somali Republic</option>
<option value="South Africa, Republic Of"<?= (@$info->pre_country1=="South Africa, Republic Of")?" selected":""?>>South Africa, Republic Of</option>
<option value="Southern Antarctic Territories"<?= (@$info->pre_country1=="Southern Antarctic Territories")?" selected":""?>>Southern Antarctic Territories</option>
<option value="Spain"<?= (@$info->pre_country1=="Spain")?" selected":""?>>Spain</option>
<option value="Sri Lanka"<?= (@$info->pre_country1=="Sri Lanka")?" selected":""?>>Sri Lanka</option>
<option value="St. Helena"<?= (@$info->pre_country1=="St. Helena")?" selected":""?>>St. Helena</option>
<option value="St. Kitts-Nevis"<?= (@$info->pre_country1=="St. Kitts-Nevis")?" selected":""?>>St. Kitts-Nevis</option>
<option value="St. Lucia"<?= (@$info->pre_country1=="St. Lucia")?" selected":""?>>St. Lucia</option>
<option value="St. Pierre Et Miquelon"<?= (@$info->pre_country1=="St. Pierre Et Miquelon")?" selected":""?>>St. Pierre Et Miquelon</option>
<option value="St. Vincent and the Grenadines"<?= (@$info->pre_country1=="St. Vincent and the Grenadines")?" selected":""?>>St. Vincent and the Grenadines</option>
<option value="Sudan, Democratic Republic Of"<?= (@$info->pre_country1=="Sudan, Democratic Republic Of")?" selected":""?>>Sudan, Democratic Republic Of</option>
<option value="Surinam"<?= (@$info->pre_country1=="Surinam")?" selected":""?>>Surinam</option>
<option value="Swaziland"<?= (@$info->pre_country1=="Swaziland")?" selected":""?>>Swaziland</option>
<option value="Sweden"<?= (@$info->pre_country1=="Sweden")?" selected":""?>>Sweden</option>
<option value="Switzerland"<?= (@$info->pre_country1=="Switzerland")?" selected":""?>>Switzerland</option>
<option value="Syria"<?= (@$info->pre_country1=="Syria")?" selected":""?>>Syria</option>
<option value="Tadjikistan"<?= (@$info->pre_country1=="Tadjikistan")?" selected":""?>>Tadjikistan</option>
<option value="Taiwan"<?= (@$info->pre_country1=="Taiwan")?" selected":""?>>Taiwan</option>
<option value="Tanzania, United Republic Of"<?= (@$info->pre_country1=="Tanzania, United Republic Of")?" selected":""?>>Tanzania, United Republic Of</option>
<option value="Thailand"<?= (@$info->pre_country1=="Thailand")?" selected":""?>>Thailand</option>
<option value="Tibet"<?= (@$info->pre_country1=="Tibet")?" selected":""?>>Tibet</option>
<option value="Togo, Republic Of"<?= (@$info->pre_country1=="Togo, Republic Of")?" selected":""?>>Togo, Republic Of</option>
<option value="Tonga"<?= (@$info->pre_country1=="Tonga")?" selected":""?>>Tonga</option>
<option value="Trinidad & Tobago, Republic Of"<?= (@$info->pre_country1=="Trinidad & Tobago, Republic Of")?" selected":""?>>Trinidad & Tobago, Republic Of</option>
<option value="Tunisia"<?= (@$info->pre_country1=="Tunisia")?" selected":""?>>Tunisia</option>
<option value="Turkey"<?= (@$info->pre_country1=="Turkey")?" selected":""?>>Turkey</option>
<option value="Turkmenistan"<?= (@$info->pre_country1=="Turkmenistan")?" selected":""?>>Turkmenistan</option>
<option value="Turks And Caicos Islands"<?= (@$info->pre_country1=="Turks And Caicos Islands")?" selected":""?>>Turks And Caicos Islands</option>
<option value="Tuvalu"<?= (@$info->pre_country1=="Tuvalu")?" selected":""?>>Tuvalu</option>
<option value="Uganda"<?= (@$info->pre_country1=="Uganda")?" selected":""?>>Uganda</option>
<option value="Ukraine"<?= (@$info->pre_country1=="Ukraine")?" selected":""?>>Ukraine</option>
<option value="Union Of Soviet Socialist Rep"<?= (@$info->pre_country1=="Union Of Soviet Socialist Rep")?" selected":""?>>Union Of Soviet Socialist Rep</option>
<option value="united Arab Emirates"<?= (@$info->pre_country1=="united Arab Emirates")?" selected":""?>>united Arab Emirates</option>
<option value="United States of America"<?= (@$info->pre_country1=="United States of America")?" selected":""?>>United States of America</option>
<option value="Unknown"<?= (@$info->pre_country1=="Unknown")?" selected":""?>>Unknown</option>
<option value="Uruguay"<?= (@$info->pre_country1=="Uruguay")?" selected":""?>>Uruguay</option>
<option value="Uzbekistan"<?= (@$info->pre_country1=="Uzbekistan")?" selected":""?>>Uzbekistan</option>
<option value="Vanuatu"<?= (@$info->pre_country1=="Vanuatu")?" selected":""?>>Vanuatu</option>
<option value="Venezuela"<?= (@$info->pre_country1=="Venezuela")?" selected":""?>>Venezuela</option>
<option value="Vietnam, Socialist Republic Of"<?= (@$info->pre_country1=="Vietnam, Socialist Republic Of")?" selected":""?>>Vietnam, Socialist Republic Of</option>
<option value="Virgin Islands, British"<?= (@$info->pre_country1=="Virgin Islands, British")?" selected":""?>>Virgin Islands, British</option>
<option value="Virgin Islands, U.s."<?= (@$info->pre_country1=="Virgin Islands, U.s.")?" selected":""?>>Virgin Islands, U.s.</option>
<option value="Wales"<?= (@$info->pre_country1=="Wales")?" selected":""?>>Wales</option>
<option value="Wallis And Futuna"<?= (@$info->pre_country1=="Wallis And Futuna")?" selected":""?>>Wallis And Futuna</option>
<option value="Western Sahara"<?= (@$info->pre_country1=="Western Sahara")?" selected":""?>>Western Sahara</option>
<option value="Yemen, Republic Of"<?= (@$info->pre_country1=="Yemen, Republic Of")?" selected":""?>>Yemen, Republic Of</option>
<option value="Yugoslavia"<?= (@$info->pre_country1=="Yugoslavia")?" selected":""?>>Yugoslavia</option>
<option value="Zambia"<?= (@$info->pre_country1=="Zambia")?" selected":""?>>Zambia</option>
<option value="Zimbabwe"<?= (@$info->pre_country1=="Zimbabwe")?" selected":""?>>Zimbabwe</option>
			</select>
Status
<select name="pre_status1">
<option></option>
<option value="Citizen"<?= (@$info->pre_status1=="Citizen")?" selected":""?>>Citizen</option>
<option value="Permanent resident"<?= (@$info->pre_status1=="Permanent resident")?" selected":""?>>Permanent resident</option>
<option value="Visitor"<?= (@$info->pre_status1=="Visitor")?" selected":""?>>Visitor</option>
<option value="Worker"<?= (@$info->pre_status1=="Worker")?" selected":""?>>Worker</option>
<option value="Student"<?= (@$info->pre_status1=="Student")?" selected":""?>>Student</option>
<option value="Other"<?= (@$info->pre_status1=="Other")?" selected":""?>>Other</option>
<option value="Protected Person"<?= (@$info->pre_status1=="Protected Person")?" selected":""?>>Protected Person</option>
<option value="Refugee Claimant"<?= (@$info->pre_status1=="Refugee Claimant")?" selected":""?>>Refugee Claimant</option>			</select>
Other
<input type="text" name="pre_other1" value="<?= @$info->pre_other1?>" />
<br />
From
<input type="text" name="pre_from1" value="<?= @$info->pre_from1?>" id="pre_from1" />
YYYY-MM-DD To
<input type="text" name="pre_to1" value="<?= @$info->pre_to1?>" id="pre_to1" />
YYYY-MM-DD<br />
<br />
Country
<select name="pre_country2">
<option></option>
<option value="Afghanistan"<?= (@$info->pre_country2=="Afghanistan")?" selected":""?>>Afghanistan</option>
<option value="Albania"<?= (@$info->pre_country2=="Albania")?" selected":""?>>Albania</option>
<option value="Algeria"<?= (@$info->pre_country2=="Algeria")?" selected":""?>>Algeria</option>
<option value="Andorra"<?= (@$info->pre_country2=="Andorra")?" selected":""?>>Andorra</option>
<option value="Angola"<?= (@$info->pre_country2=="Angola")?" selected":""?>>Angola</option>
<option value="Anguilla"<?= (@$info->pre_country2=="Anguilla")?" selected":""?>>Anguilla</option>
<option value="Antigua And Barbuda"<?= (@$info->pre_country2=="Antigua And Barbuda")?" selected":""?>>Antigua And Barbuda</option>
<option value="Argentina"<?= (@$info->pre_country2=="Argentina")?" selected":""?>>Argentina</option>
<option value="Armenia"<?= (@$info->pre_country2=="Armenia")?" selected":""?>>Armenia</option>
<option value="Aruba"<?= (@$info->pre_country2=="Aruba")?" selected":""?>>Aruba</option>
<option value="Australia"<?= (@$info->pre_country2=="Australia")?" selected":""?>>Australia</option>
<option value="Austria"<?= (@$info->pre_country2=="Austria")?" selected":""?>>Austria</option>
<option value="Azerbaijan"<?= (@$info->pre_country2=="Azerbaijan")?" selected":""?>>Azerbaijan</option>
<option value="Azores"<?= (@$info->pre_country2=="Azores")?" selected":""?>>Azores</option>
<option value="Bahama Islands, The"<?= (@$info->pre_country2=="Bahama Islands, The")?" selected":""?>>Bahama Islands, The</option>
<option value="Bahrain"<?= (@$info->pre_country2=="Bahrain")?" selected":""?>>Bahrain</option>
<option value="Bangladesh"<?= (@$info->pre_country2=="Bangladesh")?" selected":""?>>Bangladesh</option>
<option value="Barbados"<?= (@$info->pre_country2=="Barbados")?" selected":""?>>Barbados</option>
<option value="Belarus"<?= (@$info->pre_country2=="Belarus")?" selected":""?>>Belarus</option>
<option value="Belgium"<?= (@$info->pre_country2=="Belgium")?" selected":""?>>Belgium</option>
<option value="Belize"<?= (@$info->pre_country2=="Belize")?" selected":""?>>Belize</option>
<option value="Benin, Peoples Republic Of"<?= (@$info->pre_country2=="Benin, Peoples Republic Of")?" selected":""?>>Benin, Peoples Republic Of</option>
<option value="Bermuda"<?= (@$info->pre_country2=="Bermuda")?" selected":""?>>Bermuda</option>
<option value="Bhutan"<?= (@$info->pre_country2=="Bhutan")?" selected":""?>>Bhutan</option>
<option value="Bolivia"<?= (@$info->pre_country2=="Bolivia")?" selected":""?>>Bolivia</option>
<option value="Bosnia-Hercepovina"<?= (@$info->pre_country2=="Bosnia-Hercepovina")?" selected":""?>>Bosnia-Hercepovina</option>
<option value="Botswana, Republic Of"<?= (@$info->pre_country2=="Botswana, Republic Of")?" selected":""?>>Botswana, Republic Of</option>
<option value="Brazil"<?= (@$info->pre_country2=="Brazil")?" selected":""?>>Brazil</option>
<option value="Brunei"<?= (@$info->pre_country2=="Brunei")?" selected":""?>>Brunei</option>
<option value="Bulgaria"<?= (@$info->pre_country2=="Bulgaria")?" selected":""?>>Bulgaria</option>
<option value="Burkina Faso"<?= (@$info->pre_country2=="Burkina Faso")?" selected":""?>>Burkina Faso</option>
<option value="Burundi"<?= (@$info->pre_country2=="Burundi")?" selected":""?>>Burundi</option>
<option value="Cambodia"<?= (@$info->pre_country2=="Cambodia")?" selected":""?>>Cambodia</option>
<option value="Cameroon, Federal Republic Of"<?= (@$info->pre_country2=="Cameroon, Federal Republic Of")?" selected":""?>>Cameroon, Federal Republic Of</option>
<option value="Canada"<?= (@$info->pre_country2=="Canada")?" selected":""?>>Canada</option>
<option value="Canary Islands"<?= (@$info->pre_country2=="Canary Islands")?" selected":""?>>Canary Islands</option>
<option value="Cape Verde Islands"<?= (@$info->pre_country2=="Cape Verde Islands")?" selected":""?>>Cape Verde Islands</option>
<option value="Cayman Islands"<?= (@$info->pre_country2=="Cayman Islands")?" selected":""?>>Cayman Islands</option>
<option value="Central Africa Republic"<?= (@$info->pre_country2=="Central Africa Republic")?" selected":""?>>Central Africa Republic</option>
<option value="Chad, Republic Of"<?= (@$info->pre_country2=="Chad, Republic Of")?" selected":""?>>Chad, Republic Of</option>
<option value="Channel Islands"<?= (@$info->pre_country2=="Channel Islands")?" selected":""?>>Channel Islands</option>
<option value="Chile"<?= (@$info->pre_country2=="Chile")?" selected":""?>>Chile</option>
<option value="China, People's Republic Of"<?= (@$info->pre_country2=="China, People's Republic Of")?" selected":""?>>China, People's Republic Of</option>
<option value="Colombia"<?= (@$info->pre_country2=="Colombia")?" selected":""?>>Colombia</option>
<option value="Comoros"<?= (@$info->pre_country2=="Comoros")?" selected":""?>>Comoros</option>
<option value="Congo, People's Republic Of"<?= (@$info->pre_country2=="Congo, People's Republic Of")?" selected":""?>>Congo, People's Republic Of</option>
<option value="Congo, Democratic Republic Of"<?= (@$info->pre_country2=="Congo, Democratic Republic Of")?" selected":""?>>Congo, Democratic Republic Of</option>
<option value="Cook Islands"<?= (@$info->pre_country2=="Cook Islands")?" selected":""?>>Cook Islands</option>
<option value="Costa Rica"<?= (@$info->pre_country2=="Costa Rica")?" selected":""?>>Costa Rica</option>
<option value="Croatia"<?= (@$info->pre_country2=="Croatia")?" selected":""?>>Croatia</option>
<option value="Cuba"<?= (@$info->pre_country2=="Cuba")?" selected":""?>>Cuba</option>
<option value="Cyprus"<?= (@$info->pre_country2=="Cyprus")?" selected":""?>>Cyprus</option>
<option value="Czech Republic"<?= (@$info->pre_country2=="Czech Republic")?" selected":""?>>Czech Republic</option>
<option value="Czechoslovakia"<?= (@$info->pre_country2=="Czechoslovakia")?" selected":""?>>Czechoslovakia</option>
<option value="Denmark"<?= (@$info->pre_country2=="Denmark")?" selected":""?>>Denmark</option>
<option value="Djibouti, Republic Of"<?= (@$info->pre_country2=="Djibouti, Republic Of")?" selected":""?>>Djibouti, Republic Of</option>
<option value="Dominica"<?= (@$info->pre_country2=="Dominica")?" selected":""?>>Dominica</option>
<option value="Dominican Republic"<?= (@$info->pre_country2=="Dominican Republic")?" selected":""?>>Dominican Republic</option>
<option value="East Timor"<?= (@$info->pre_country2=="East Timor")?" selected":""?>>East Timor</option>
<option value="Ecuador"<?= (@$info->pre_country2=="Ecuador")?" selected":""?>>Ecuador</option>
<option value="Egypt"<?= (@$info->pre_country2=="Egypt")?" selected":""?>>Egypt</option>
<option value="El Salvador"<?= (@$info->pre_country2=="El Salvador")?" selected":""?>>El Salvador</option>
<option value="England"<?= (@$info->pre_country2=="England")?" selected":""?>>England</option>
<option value="Eritrea"<?= (@$info->pre_country2=="Eritrea")?" selected":""?>>Eritrea</option>
<option value="Estonia"<?= (@$info->pre_country2=="Estonia")?" selected":""?>>Estonia</option>
<option value="Ethiopia"<?= (@$info->pre_country2=="Ethiopia")?" selected":""?>>Ethiopia</option>
<option value="Falkland Islands"<?= (@$info->pre_country2=="Falkland Islands")?" selected":""?>>Falkland Islands</option>
<option value="Federated States of Micronesia"<?= (@$info->pre_country2=="Federated States of Micronesia")?" selected":""?>>Federated States of Micronesia</option>
<option value="Fiji"<?= (@$info->pre_country2=="Fiji")?" selected":""?>>Fiji</option>
<option value="Finland"<?= (@$info->pre_country2=="Finland")?" selected":""?>>Finland</option>
<option value="France"<?= (@$info->pre_country2=="France")?" selected":""?>>France</option>
<option value="French Guiana"<?= (@$info->pre_country2=="French Guiana")?" selected":""?>>French Guiana</option>
<option value="French Polynesia"<?= (@$info->pre_country2=="French Polynesia")?" selected":""?>>French Polynesia</option>
<option value="Fyr Macedonia"<?= (@$info->pre_country2=="Fyr Macedonia")?" selected":""?>>Fyr Macedonia</option>
<option value="Gabon Republic"<?= (@$info->pre_country2=="Gabon Republic")?" selected":""?>>Gabon Republic</option>
<option value="Gambia"<?= (@$info->pre_country2=="Gambia")?" selected":""?>>Gambia</option>
<option value="Georgia"<?= (@$info->pre_country2=="Georgia")?" selected":""?>>Georgia</option>
<option value="Germany, Federal Rebpublic Of"<?= (@$info->pre_country2=="Germany, Federal Rebpublic Of")?" selected":""?>>Germany, Federal Rebpublic Of</option>
<option value="Ghana"<?= (@$info->pre_country2=="Ghana")?" selected":""?>>Ghana</option>
<option value="Gibraltar"<?= (@$info->pre_country2=="Gibraltar")?" selected":""?>>Gibraltar</option>
<option value="Greece"<?= (@$info->pre_country2=="Greece")?" selected":""?>>Greece</option>
<option value="Greenland"<?= (@$info->pre_country2=="Greenland")?" selected":""?>>Greenland</option>
<option value="Grenada"<?= (@$info->pre_country2=="Grenada")?" selected":""?>>Grenada</option>
<option value="Guadeloupe"<?= (@$info->pre_country2=="Guadeloupe")?" selected":""?>>Guadeloupe</option>
<option value="Guam"<?= (@$info->pre_country2=="Guam")?" selected":""?>>Guam</option>
<option value="Guatemala"<?= (@$info->pre_country2=="Guatemala")?" selected":""?>>Guatemala</option>
<option value="Guinea, Equatorial"<?= (@$info->pre_country2=="Guinea, Equatorial")?" selected":""?>>Guinea, Equatorial</option>
<option value="Guinea, Republic Of"<?= (@$info->pre_country2=="Guinea, Republic Of")?" selected":""?>>Guinea, Republic Of</option>
<option value="Guinea-Bissau"<?= (@$info->pre_country2=="Guinea-Bissau")?" selected":""?>>Guinea-Bissau</option>
<option value="Guyana"<?= (@$info->pre_country2=="Guyana")?" selected":""?>>Guyana</option>
<option value="Haiti"<?= (@$info->pre_country2=="Haiti")?" selected":""?>>Haiti</option>
<option value="Holy See"<?= (@$info->pre_country2=="Holy See")?" selected":""?>>Holy See</option>
<option value="Honduras"<?= (@$info->pre_country2=="Honduras")?" selected":""?>>Honduras</option>
<option value="Hong Kong"<?= (@$info->pre_country2=="Hong Kong")?" selected":""?>>Hong Kong</option>
<option value="Hong Kong Sar"<?= (@$info->pre_country2=="Hong Kong Sar")?" selected":""?>>Hong Kong Sar</option>
<option value="Hungary"<?= (@$info->pre_country2=="Hungary")?" selected":""?>>Hungary</option>
<option value="Iceland"<?= (@$info->pre_country2=="Iceland")?" selected":""?>>Iceland</option>
<option value="India"<?= (@$info->pre_country2=="India")?" selected":""?>>India</option>
<option value="Indonesia, Republic Of"<?= (@$info->pre_country2=="Indonesia, Republic Of")?" selected":""?>>Indonesia, Republic Of</option>
<option value="Iran"<?= (@$info->pre_country2=="Iran")?" selected":""?>>Iran</option>
<option value="Iraq"<?= (@$info->pre_country2=="Iraq")?" selected":""?>>Iraq</option>
<option value="Ireland, Republic Of"<?= (@$info->pre_country2=="Ireland, Republic Of")?" selected":""?>>Ireland, Republic Of</option>
<option value="Israel"<?= (@$info->pre_country2=="Israel")?" selected":""?>>Israel</option>
<option value="Italy"<?= (@$info->pre_country2=="Italy")?" selected":""?>>Italy</option>
<option value="Ivory Coast, Republic"<?= (@$info->pre_country2=="Ivory Coast, Republic")?" selected":""?>>Ivory Coast, Republic</option>
<option value="Jamaica"<?= (@$info->pre_country2=="Jamaica")?" selected":""?>>Jamaica</option>
<option value="Japan"<?= (@$info->pre_country2=="Japan")?" selected":""?>>Japan</option>
<option value="Jordan"<?= (@$info->pre_country2=="Jordan")?" selected":""?>>Jordan</option>
<option value="Kazakhstan"<?= (@$info->pre_country2=="Kazakhstan")?" selected":""?>>Kazakhstan</option>
<option value="Kenya"<?= (@$info->pre_country2=="Kenya")?" selected":""?>>Kenya</option>
<option value="Kiribati"<?= (@$info->pre_country2=="Kiribati")?" selected":""?>>Kiribati</option>
<option value="Korea (North)"<?= (@$info->pre_country2=="Korea (North)")?" selected":""?>>Korea (North)</option>
<option value="Korea, Republic Of"<?= (@$info->pre_country2=="Korea, Republic Of")?" selected":""?>>Korea, Republic Of</option>
<option value="Kuwait"<?= (@$info->pre_country2=="Kuwait")?" selected":""?>>Kuwait</option>
<option value="Kyrgyzstan"<?= (@$info->pre_country2=="Kyrgyzstan")?" selected":""?>>Kyrgyzstan</option>
<option value="Laos"<?= (@$info->pre_country2=="Laos")?" selected":""?>>Laos</option>
<option value="Latvia"<?= (@$info->pre_country2=="Latvia")?" selected":""?>>Latvia</option>
<option value="Lebanon"<?= (@$info->pre_country2=="Lebanon")?" selected":""?>>Lebanon</option>
<option value="Lesotho"<?= (@$info->pre_country2=="Lesotho")?" selected":""?>>Lesotho</option>
<option value="Liberia"<?= (@$info->pre_country2=="Liberia")?" selected":""?>>Liberia</option>
<option value="Libya"<?= (@$info->pre_country2=="Libya")?" selected":""?>>Libya</option>
<option value="Liechtenstein"<?= (@$info->pre_country2=="Liechtenstein")?" selected":""?>>Liechtenstein</option>
<option value="Lithuania"<?= (@$info->pre_country2=="Lithuania")?" selected":""?>>Lithuania</option>
<option value="Luxembourg"<?= (@$info->pre_country2=="Luxembourg")?" selected":""?>>Luxembourg</option>
<option value="Macao"<?= (@$info->pre_country2=="Macao")?" selected":""?>>Macao</option>
<option value="Macau SAR"<?= (@$info->pre_country2=="Macau SAR")?" selected":""?>>Macau SAR</option>
<option value="Madagascar"<?= (@$info->pre_country2=="Madagascar")?" selected":""?>>Madagascar</option>
<option value="Madeira"<?= (@$info->pre_country2=="Madeira")?" selected":""?>>Madeira</option>
<option value="Malawi"<?= (@$info->pre_country2=="Malawi")?" selected":""?>>Malawi</option>
<option value="Malaysia"<?= (@$info->pre_country2=="Malaysia")?" selected":""?>>Malaysia</option>
<option value="Maldives, Republic Of"<?= (@$info->pre_country2=="Maldives, Republic Of")?" selected":""?>>Maldives, Republic Of</option>
<option value="Mali, Republic Of"<?= (@$info->pre_country2=="Mali, Republic Of")?" selected":""?>>Mali, Republic Of</option>
<option value="Malta"<?= (@$info->pre_country2=="Malta")?" selected":""?>>Malta</option>
<option value="Marshall Islands"<?= (@$info->pre_country2=="Marshall Islands")?" selected":""?>>Marshall Islands</option>
<option value="Martinique"<?= (@$info->pre_country2=="Martinique")?" selected":""?>>Martinique</option>
<option value="Mauritania"<?= (@$info->pre_country2=="Mauritania")?" selected":""?>>Mauritania</option>
<option value="Mauritius"<?= (@$info->pre_country2=="Mauritius")?" selected":""?>>Mauritius</option>
<option value="Mayotte"<?= (@$info->pre_country2=="Mayotte")?" selected":""?>>Mayotte</option>
<option value="Mexico"<?= (@$info->pre_country2=="Mexico")?" selected":""?>>Mexico</option>
<option value="Moldova"<?= (@$info->pre_country2=="Moldova")?" selected":""?>>Moldova</option>
<option value="Monaco"<?= (@$info->pre_country2=="Monaco")?" selected":""?>>Monaco</option>
<option value="Mongolia, People's Republic Of"<?= (@$info->pre_country2=="Mongolia, People's Republic Of")?" selected":""?>>Mongolia, People's Republic Of</option>
<option value="Montenegro, Republic Of"<?= (@$info->pre_country2=="Montenegro, Republic Of")?" selected":""?>>Montenegro, Republic Of</option>
<option value="Montserrat"<?= (@$info->pre_country2=="Montserrat")?" selected":""?>>Montserrat</option>
<option value="Morocco"<?= (@$info->pre_country2=="Morocco")?" selected":""?>>Morocco</option>
<option value="Monzambique"<?= (@$info->pre_country2=="Monzambique")?" selected":""?>>Monzambique</option>
<option value="Myanmar (Burma)"<?= (@$info->pre_country2=="Myanmar (Burma)")?" selected":""?>>Myanmar (Burma)</option>
<option value="Namibia"<?= (@$info->pre_country2=="Namibia")?" selected":""?>>Namibia</option>
<option value="Nauru"<?= (@$info->pre_country2=="Nauru")?" selected":""?>>Nauru</option>
<option value="Nepal"<?= (@$info->pre_country2=="Nepal")?" selected":""?>>Nepal</option>
<option value="Netherlands Antilles, The"<?= (@$info->pre_country2=="Netherlands Antilles, The")?" selected":""?>>Netherlands Antilles, The</option>
<option value="Netherlands, The"<?= (@$info->pre_country2=="Netherlands, The")?" selected":""?>>Netherlands, The</option>
<option value="Nevis"<?= (@$info->pre_country2=="Nevis")?" selected":""?>>Nevis</option>
<option value="New Caledonia"<?= (@$info->pre_country2=="New Caledonia")?" selected":""?>>New Caledonia</option>
<option value="New Zealand"<?= (@$info->pre_country2=="New Zealand")?" selected":""?>>New Zealand</option>
<option value="Nicaragua"<?= (@$info->pre_country2=="Nicaragua")?" selected":""?>>Nicaragua</option>
<option value="Niger, Republic Of The"<?= (@$info->pre_country2=="Niger, Republic Of The")?" selected":""?>>Niger, Republic Of The</option>
<option value="Nigeria"<?= (@$info->pre_country2=="Nigeria")?" selected":""?>>Nigeria</option>
<option value="Northern Ireland"<?= (@$info->pre_country2=="Northern Ireland")?" selected":""?>>Northern Ireland</option>
<option value="Northern Mariana Islands"<?= (@$info->pre_country2=="Northern Mariana Islands")?" selected":""?>>Northern Mariana Islands</option>
<option value="Norway"<?= (@$info->pre_country2=="Norway")?" selected":""?>>Norway</option>
<option value="Oman"<?= (@$info->pre_country2=="Oman")?" selected":""?>>Oman</option>
<option value="Pakistan"<?= (@$info->pre_country2=="Pakistan")?" selected":""?>>Pakistan</option>
<option value="Palestinian Autho.Gaza/W Bank"<?= (@$info->pre_country2=="Palestinian Autho.Gaza/W Bank")?" selected":""?>>Palestinian Autho.Gaza/W Bank</option>
<option value="Panama, Republic Of"<?= (@$info->pre_country2=="Panama, Republic Of")?" selected":""?>>Panama, Republic Of</option>
<option value="Papua New Guinea"<?= (@$info->pre_country2=="Papua New Guinea")?" selected":""?>>Papua New Guinea</option>
<option value="Paraguay"<?= (@$info->pre_country2=="Paraguay")?" selected":""?>>Paraguay</option>
<option value="Peru"<?= (@$info->pre_country2=="Peru")?" selected":""?>>Peru</option>
<option value="Philippines"<?= (@$info->pre_country2=="Philippines")?" selected":""?>>Philippines</option>
<option value="Pitcairn Island"<?= (@$info->pre_country2=="Pitcairn Island")?" selected":""?>>Pitcairn Island</option>
<option value="poland"<?= (@$info->pre_country2=="poland")?" selected":""?>>poland</option>
<option value="Portugal"<?= (@$info->pre_country2=="Portugal")?" selected":""?>>Portugal</option>
<option value="Puerto Rico"<?= (@$info->pre_country2=="Puerto Rico")?" selected":""?>>Puerto Rico</option>
<option value="Qatar"<?= (@$info->pre_country2=="Qatar")?" selected":""?>>Qatar</option>
<option value="Republic Of Kosovo"<?= (@$info->pre_country2=="Republic Of Kosovo")?" selected":""?>>Republic Of Kosovo</option>
<option value="Republic Of Palau"<?= (@$info->pre_country2=="Republic Of Palau")?" selected":""?>>Republic Of Palau</option>
<option value="Reunion"<?= (@$info->pre_country2=="Reunion")?" selected":""?>>Reunion</option>
<option value="Romania"<?= (@$info->pre_country2=="Romania")?" selected":""?>>Romania</option>
<option value="Russia"<?= (@$info->pre_country2=="Russia")?" selected":""?>>Russia</option>
<option value="Rwanda"<?= (@$info->pre_country2=="Rwanda")?" selected":""?>>Rwanda</option>
<option value="Samoa, American"<?= (@$info->pre_country2=="Samoa, American")?" selected":""?>>Samoa, American</option>
<option value="Samoa, Western"<?= (@$info->pre_country2=="Samoa, Western")?" selected":""?>>Samoa, Western</option>
<option value="San Marino"<?= (@$info->pre_country2=="San Marino")?" selected":""?>>San Marino</option>
<option value="Sao Tome E Principe"<?= (@$info->pre_country2=="Sao Tome E Principe")?" selected":""?>>Sao Tome E Principe</option>
<option value="Saudi Arabia"<?= (@$info->pre_country2=="Saudi Arabia")?" selected":""?>>Saudi Arabia</option>
<option value="Scotland"<?= (@$info->pre_country2=="Scotland")?" selected":""?>>Scotland</option>
<option value="Senegal"<?= (@$info->pre_country2=="Senegal")?" selected":""?>>Senegal</option>
<option value="Serbia And Montenegro"<?= (@$info->pre_country2=="Serbia And Montenegro")?" selected":""?>>Serbia And Montenegro</option>
<option value="Serbia, Republic Of"<?= (@$info->pre_country2=="Serbia, Republic Of")?" selected":""?>>Serbia, Republic Of</option>
<option value="Seychelles"<?= (@$info->pre_country2=="Seychelles")?" selected":""?>>Seychelles</option>
<option value="Sierra Leone"<?= (@$info->pre_country2=="Sierra Leone")?" selected":""?>>Sierra Leone</option>
<option value="Singapore"<?= (@$info->pre_country2=="Singapore")?" selected":""?>>Singapore</option>
<option value="Slovak Republic"<?= (@$info->pre_country2=="Slovak Republic")?" selected":""?>>Slovak Republic</option>
<option value="Slovenia"<?= (@$info->pre_country2=="Slovenia")?" selected":""?>>Slovenia</option>
<option value="Solomons, The"<?= (@$info->pre_country2=="Solomons, The")?" selected":""?>>Solomons, The</option>
<option value="Somali Republic"<?= (@$info->pre_country2=="Somali Republic")?" selected":""?>>Somali Republic</option>
<option value="South Africa, Republic Of"<?= (@$info->pre_country2=="South Africa, Republic Of")?" selected":""?>>South Africa, Republic Of</option>
<option value="Southern Antarctic Territories"<?= (@$info->pre_country2=="Southern Antarctic Territories")?" selected":""?>>Southern Antarctic Territories</option>
<option value="Spain"<?= (@$info->pre_country2=="Spain")?" selected":""?>>Spain</option>
<option value="Sri Lanka"<?= (@$info->pre_country2=="Sri Lanka")?" selected":""?>>Sri Lanka</option>
<option value="St. Helena"<?= (@$info->pre_country2=="St. Helena")?" selected":""?>>St. Helena</option>
<option value="St. Kitts-Nevis"<?= (@$info->pre_country2=="St. Kitts-Nevis")?" selected":""?>>St. Kitts-Nevis</option>
<option value="St. Lucia"<?= (@$info->pre_country2=="St. Lucia")?" selected":""?>>St. Lucia</option>
<option value="St. Pierre Et Miquelon"<?= (@$info->pre_country2=="St. Pierre Et Miquelon")?" selected":""?>>St. Pierre Et Miquelon</option>
<option value="St. Vincent and the Grenadines"<?= (@$info->pre_country2=="St. Vincent and the Grenadines")?" selected":""?>>St. Vincent and the Grenadines</option>
<option value="Sudan, Democratic Republic Of"<?= (@$info->pre_country2=="Sudan, Democratic Republic Of")?" selected":""?>>Sudan, Democratic Republic Of</option>
<option value="Surinam"<?= (@$info->pre_country2=="Surinam")?" selected":""?>>Surinam</option>
<option value="Swaziland"<?= (@$info->pre_country2=="Swaziland")?" selected":""?>>Swaziland</option>
<option value="Sweden"<?= (@$info->pre_country2=="Sweden")?" selected":""?>>Sweden</option>
<option value="Switzerland"<?= (@$info->pre_country2=="Switzerland")?" selected":""?>>Switzerland</option>
<option value="Syria"<?= (@$info->pre_country2=="Syria")?" selected":""?>>Syria</option>
<option value="Tadjikistan"<?= (@$info->pre_country2=="Tadjikistan")?" selected":""?>>Tadjikistan</option>
<option value="Taiwan"<?= (@$info->pre_country2=="Taiwan")?" selected":""?>>Taiwan</option>
<option value="Tanzania, United Republic Of"<?= (@$info->pre_country2=="Tanzania, United Republic Of")?" selected":""?>>Tanzania, United Republic Of</option>
<option value="Thailand"<?= (@$info->pre_country2=="Thailand")?" selected":""?>>Thailand</option>
<option value="Tibet"<?= (@$info->pre_country2=="Tibet")?" selected":""?>>Tibet</option>
<option value="Togo, Republic Of"<?= (@$info->pre_country2=="Togo, Republic Of")?" selected":""?>>Togo, Republic Of</option>
<option value="Tonga"<?= (@$info->pre_country2=="Tonga")?" selected":""?>>Tonga</option>
<option value="Trinidad & Tobago, Republic Of"<?= (@$info->pre_country2=="Trinidad & Tobago, Republic Of")?" selected":""?>>Trinidad & Tobago, Republic Of</option>
<option value="Tunisia"<?= (@$info->pre_country2=="Tunisia")?" selected":""?>>Tunisia</option>
<option value="Turkey"<?= (@$info->pre_country2=="Turkey")?" selected":""?>>Turkey</option>
<option value="Turkmenistan"<?= (@$info->pre_country2=="Turkmenistan")?" selected":""?>>Turkmenistan</option>
<option value="Turks And Caicos Islands"<?= (@$info->pre_country2=="Turks And Caicos Islands")?" selected":""?>>Turks And Caicos Islands</option>
<option value="Tuvalu"<?= (@$info->pre_country2=="Tuvalu")?" selected":""?>>Tuvalu</option>
<option value="Uganda"<?= (@$info->pre_country2=="Uganda")?" selected":""?>>Uganda</option>
<option value="Ukraine"<?= (@$info->pre_country2=="Ukraine")?" selected":""?>>Ukraine</option>
<option value="Union Of Soviet Socialist Rep"<?= (@$info->pre_country2=="Union Of Soviet Socialist Rep")?" selected":""?>>Union Of Soviet Socialist Rep</option>
<option value="united Arab Emirates"<?= (@$info->pre_country2=="united Arab Emirates")?" selected":""?>>united Arab Emirates</option>
<option value="United States of America"<?= (@$info->pre_country2=="United States of America")?" selected":""?>>United States of America</option>
<option value="Unknown"<?= (@$info->pre_country2=="Unknown")?" selected":""?>>Unknown</option>
<option value="Uruguay"<?= (@$info->pre_country2=="Uruguay")?" selected":""?>>Uruguay</option>
<option value="Uzbekistan"<?= (@$info->pre_country2=="Uzbekistan")?" selected":""?>>Uzbekistan</option>
<option value="Vanuatu"<?= (@$info->pre_country2=="Vanuatu")?" selected":""?>>Vanuatu</option>
<option value="Venezuela"<?= (@$info->pre_country2=="Venezuela")?" selected":""?>>Venezuela</option>
<option value="Vietnam, Socialist Republic Of"<?= (@$info->pre_country2=="Vietnam, Socialist Republic Of")?" selected":""?>>Vietnam, Socialist Republic Of</option>
<option value="Virgin Islands, British"<?= (@$info->pre_country2=="Virgin Islands, British")?" selected":""?>>Virgin Islands, British</option>
<option value="Virgin Islands, U.s."<?= (@$info->pre_country2=="Virgin Islands, U.s.")?" selected":""?>>Virgin Islands, U.s.</option>
<option value="Wales"<?= (@$info->pre_country2=="Wales")?" selected":""?>>Wales</option>
<option value="Wallis And Futuna"<?= (@$info->pre_country2=="Wallis And Futuna")?" selected":""?>>Wallis And Futuna</option>
<option value="Western Sahara"<?= (@$info->pre_country2=="Western Sahara")?" selected":""?>>Western Sahara</option>
<option value="Yemen, Republic Of"<?= (@$info->pre_country2=="Yemen, Republic Of")?" selected":""?>>Yemen, Republic Of</option>
<option value="Yugoslavia"<?= (@$info->pre_country2=="Yugoslavia")?" selected":""?>>Yugoslavia</option>
<option value="Zambia"<?= (@$info->pre_country2=="Zambia")?" selected":""?>>Zambia</option>
<option value="Zimbabwe"<?= (@$info->pre_country2=="Zimbabwe")?" selected":""?>>Zimbabwe</option>
			</select>
Status
<select name="pre_status2">
<option></option>
<option value="Citizen"<?= (@$info->pre_status2=="Citizen")?" selected":""?>>Citizen</option>
<option value="Permanent resident"<?= (@$info->pre_status2=="Permanent resident")?" selected":""?>>Permanent resident</option>
<option value="Visitor"<?= (@$info->pre_status2=="Visitor")?" selected":""?>>Visitor</option>
<option value="Worker"<?= (@$info->pre_status2=="Worker")?" selected":""?>>Worker</option>
<option value="Student"<?= (@$info->pre_status2=="Student")?" selected":""?>>Student</option>
<option value="Other"<?= (@$info->pre_status2=="Other")?" selected":""?>>Other</option>
<option value="Protected Person"<?= (@$info->pre_status2=="Protected Person")?" selected":""?>>Protected Person</option>
<option value="Refugee Claimant"<?= (@$info->pre_status2=="Refugee Claimant")?" selected":""?>>Refugee Claimant</option>			</select>
Other
<input type="text" name="pre_other2" value="<?= @$info->pre_other2?>" />
<br />
From
<input type="text" name="pre_from2" value="<?= @$info->pre_from2?>" id="pre_from2" />
YYYY-MM-DD To
<input type="text" name="pre_to2" value="<?= @$info->pre_to2?>" id="pre_to2" />
YYYY-MM-DD</td>
        </tr>
        <tr class="even">
            <td colspan="4">9 Country where applying: Same as current country of residence?</td>
            <td><input type="radio" name="is_same_current" value="0" <?= (@$info->is_same_current==0)?'checked':''?> />No 
        	<input type="radio" name="is_same_current" value="1" <?= (@$info->is_same_current==1)?'checked':''?> />Yes</td>
        </tr>
		        <tr class="odd">
            <td colspan="5">Country
              <select name="apply_country">
<option></option>
<option value="Afghanistan"<?= (@$info->apply_country=="Afghanistan")?" selected":""?>>Afghanistan</option>
<option value="Albania"<?= (@$info->apply_country=="Albania")?" selected":""?>>Albania</option>
<option value="Algeria"<?= (@$info->apply_country=="Algeria")?" selected":""?>>Algeria</option>
<option value="Andorra"<?= (@$info->apply_country=="Andorra")?" selected":""?>>Andorra</option>
<option value="Angola"<?= (@$info->apply_country=="Angola")?" selected":""?>>Angola</option>
<option value="Anguilla"<?= (@$info->apply_country=="Anguilla")?" selected":""?>>Anguilla</option>
<option value="Antigua And Barbuda"<?= (@$info->apply_country=="Antigua And Barbuda")?" selected":""?>>Antigua And Barbuda</option>
<option value="Argentina"<?= (@$info->apply_country=="Argentina")?" selected":""?>>Argentina</option>
<option value="Armenia"<?= (@$info->apply_country=="Armenia")?" selected":""?>>Armenia</option>
<option value="Aruba"<?= (@$info->apply_country=="Aruba")?" selected":""?>>Aruba</option>
<option value="Australia"<?= (@$info->apply_country=="Australia")?" selected":""?>>Australia</option>
<option value="Austria"<?= (@$info->apply_country=="Austria")?" selected":""?>>Austria</option>
<option value="Azerbaijan"<?= (@$info->apply_country=="Azerbaijan")?" selected":""?>>Azerbaijan</option>
<option value="Azores"<?= (@$info->apply_country=="Azores")?" selected":""?>>Azores</option>
<option value="Bahama Islands, The"<?= (@$info->apply_country=="Bahama Islands, The")?" selected":""?>>Bahama Islands, The</option>
<option value="Bahrain"<?= (@$info->apply_country=="Bahrain")?" selected":""?>>Bahrain</option>
<option value="Bangladesh"<?= (@$info->apply_country=="Bangladesh")?" selected":""?>>Bangladesh</option>
<option value="Barbados"<?= (@$info->apply_country=="Barbados")?" selected":""?>>Barbados</option>
<option value="Belarus"<?= (@$info->apply_country=="Belarus")?" selected":""?>>Belarus</option>
<option value="Belgium"<?= (@$info->apply_country=="Belgium")?" selected":""?>>Belgium</option>
<option value="Belize"<?= (@$info->apply_country=="Belize")?" selected":""?>>Belize</option>
<option value="Benin, Peoples Republic Of"<?= (@$info->apply_country=="Benin, Peoples Republic Of")?" selected":""?>>Benin, Peoples Republic Of</option>
<option value="Bermuda"<?= (@$info->apply_country=="Bermuda")?" selected":""?>>Bermuda</option>
<option value="Bhutan"<?= (@$info->apply_country=="Bhutan")?" selected":""?>>Bhutan</option>
<option value="Bolivia"<?= (@$info->apply_country=="Bolivia")?" selected":""?>>Bolivia</option>
<option value="Bosnia-Hercepovina"<?= (@$info->apply_country=="Bosnia-Hercepovina")?" selected":""?>>Bosnia-Hercepovina</option>
<option value="Botswana, Republic Of"<?= (@$info->apply_country=="Botswana, Republic Of")?" selected":""?>>Botswana, Republic Of</option>
<option value="Brazil"<?= (@$info->apply_country=="Brazil")?" selected":""?>>Brazil</option>
<option value="Brunei"<?= (@$info->apply_country=="Brunei")?" selected":""?>>Brunei</option>
<option value="Bulgaria"<?= (@$info->apply_country=="Bulgaria")?" selected":""?>>Bulgaria</option>
<option value="Burkina Faso"<?= (@$info->apply_country=="Burkina Faso")?" selected":""?>>Burkina Faso</option>
<option value="Burundi"<?= (@$info->apply_country=="Burundi")?" selected":""?>>Burundi</option>
<option value="Cambodia"<?= (@$info->apply_country=="Cambodia")?" selected":""?>>Cambodia</option>
<option value="Cameroon, Federal Republic Of"<?= (@$info->apply_country=="Cameroon, Federal Republic Of")?" selected":""?>>Cameroon, Federal Republic Of</option>
<option value="Canada"<?= (@$info->apply_country=="Canada")?" selected":""?>>Canada</option>
<option value="Canary Islands"<?= (@$info->apply_country=="Canary Islands")?" selected":""?>>Canary Islands</option>
<option value="Cape Verde Islands"<?= (@$info->apply_country=="Cape Verde Islands")?" selected":""?>>Cape Verde Islands</option>
<option value="Cayman Islands"<?= (@$info->apply_country=="Cayman Islands")?" selected":""?>>Cayman Islands</option>
<option value="Central Africa Republic"<?= (@$info->apply_country=="Central Africa Republic")?" selected":""?>>Central Africa Republic</option>
<option value="Chad, Republic Of"<?= (@$info->apply_country=="Chad, Republic Of")?" selected":""?>>Chad, Republic Of</option>
<option value="Channel Islands"<?= (@$info->apply_country=="Channel Islands")?" selected":""?>>Channel Islands</option>
<option value="Chile"<?= (@$info->apply_country=="Chile")?" selected":""?>>Chile</option>
<option value="China, People's Republic Of"<?= (@$info->apply_country=="China, People's Republic Of")?" selected":""?>>China, People's Republic Of</option>
<option value="Colombia"<?= (@$info->apply_country=="Colombia")?" selected":""?>>Colombia</option>
<option value="Comoros"<?= (@$info->apply_country=="Comoros")?" selected":""?>>Comoros</option>
<option value="Congo, People's Republic Of"<?= (@$info->apply_country=="Congo, People's Republic Of")?" selected":""?>>Congo, People's Republic Of</option>
<option value="Congo, Democratic Republic Of"<?= (@$info->apply_country=="Congo, Democratic Republic Of")?" selected":""?>>Congo, Democratic Republic Of</option>
<option value="Cook Islands"<?= (@$info->apply_country=="Cook Islands")?" selected":""?>>Cook Islands</option>
<option value="Costa Rica"<?= (@$info->apply_country=="Costa Rica")?" selected":""?>>Costa Rica</option>
<option value="Croatia"<?= (@$info->apply_country=="Croatia")?" selected":""?>>Croatia</option>
<option value="Cuba"<?= (@$info->apply_country=="Cuba")?" selected":""?>>Cuba</option>
<option value="Cyprus"<?= (@$info->apply_country=="Cyprus")?" selected":""?>>Cyprus</option>
<option value="Czech Republic"<?= (@$info->apply_country=="Czech Republic")?" selected":""?>>Czech Republic</option>
<option value="Czechoslovakia"<?= (@$info->apply_country=="Czechoslovakia")?" selected":""?>>Czechoslovakia</option>
<option value="Denmark"<?= (@$info->apply_country=="Denmark")?" selected":""?>>Denmark</option>
<option value="Djibouti, Republic Of"<?= (@$info->apply_country=="Djibouti, Republic Of")?" selected":""?>>Djibouti, Republic Of</option>
<option value="Dominica"<?= (@$info->apply_country=="Dominica")?" selected":""?>>Dominica</option>
<option value="Dominican Republic"<?= (@$info->apply_country=="Dominican Republic")?" selected":""?>>Dominican Republic</option>
<option value="East Timor"<?= (@$info->apply_country=="East Timor")?" selected":""?>>East Timor</option>
<option value="Ecuador"<?= (@$info->apply_country=="Ecuador")?" selected":""?>>Ecuador</option>
<option value="Egypt"<?= (@$info->apply_country=="Egypt")?" selected":""?>>Egypt</option>
<option value="El Salvador"<?= (@$info->apply_country=="El Salvador")?" selected":""?>>El Salvador</option>
<option value="England"<?= (@$info->apply_country=="England")?" selected":""?>>England</option>
<option value="Eritrea"<?= (@$info->apply_country=="Eritrea")?" selected":""?>>Eritrea</option>
<option value="Estonia"<?= (@$info->apply_country=="Estonia")?" selected":""?>>Estonia</option>
<option value="Ethiopia"<?= (@$info->apply_country=="Ethiopia")?" selected":""?>>Ethiopia</option>
<option value="Falkland Islands"<?= (@$info->apply_country=="Falkland Islands")?" selected":""?>>Falkland Islands</option>
<option value="Federated States of Micronesia"<?= (@$info->apply_country=="Federated States of Micronesia")?" selected":""?>>Federated States of Micronesia</option>
<option value="Fiji"<?= (@$info->apply_country=="Fiji")?" selected":""?>>Fiji</option>
<option value="Finland"<?= (@$info->apply_country=="Finland")?" selected":""?>>Finland</option>
<option value="France"<?= (@$info->apply_country=="France")?" selected":""?>>France</option>
<option value="French Guiana"<?= (@$info->apply_country=="French Guiana")?" selected":""?>>French Guiana</option>
<option value="French Polynesia"<?= (@$info->apply_country=="French Polynesia")?" selected":""?>>French Polynesia</option>
<option value="Fyr Macedonia"<?= (@$info->apply_country=="Fyr Macedonia")?" selected":""?>>Fyr Macedonia</option>
<option value="Gabon Republic"<?= (@$info->apply_country=="Gabon Republic")?" selected":""?>>Gabon Republic</option>
<option value="Gambia"<?= (@$info->apply_country=="Gambia")?" selected":""?>>Gambia</option>
<option value="Georgia"<?= (@$info->apply_country=="Georgia")?" selected":""?>>Georgia</option>
<option value="Germany, Federal Rebpublic Of"<?= (@$info->apply_country=="Germany, Federal Rebpublic Of")?" selected":""?>>Germany, Federal Rebpublic Of</option>
<option value="Ghana"<?= (@$info->apply_country=="Ghana")?" selected":""?>>Ghana</option>
<option value="Gibraltar"<?= (@$info->apply_country=="Gibraltar")?" selected":""?>>Gibraltar</option>
<option value="Greece"<?= (@$info->apply_country=="Greece")?" selected":""?>>Greece</option>
<option value="Greenland"<?= (@$info->apply_country=="Greenland")?" selected":""?>>Greenland</option>
<option value="Grenada"<?= (@$info->apply_country=="Grenada")?" selected":""?>>Grenada</option>
<option value="Guadeloupe"<?= (@$info->apply_country=="Guadeloupe")?" selected":""?>>Guadeloupe</option>
<option value="Guam"<?= (@$info->apply_country=="Guam")?" selected":""?>>Guam</option>
<option value="Guatemala"<?= (@$info->apply_country=="Guatemala")?" selected":""?>>Guatemala</option>
<option value="Guinea, Equatorial"<?= (@$info->apply_country=="Guinea, Equatorial")?" selected":""?>>Guinea, Equatorial</option>
<option value="Guinea, Republic Of"<?= (@$info->apply_country=="Guinea, Republic Of")?" selected":""?>>Guinea, Republic Of</option>
<option value="Guinea-Bissau"<?= (@$info->apply_country=="Guinea-Bissau")?" selected":""?>>Guinea-Bissau</option>
<option value="Guyana"<?= (@$info->apply_country=="Guyana")?" selected":""?>>Guyana</option>
<option value="Haiti"<?= (@$info->apply_country=="Haiti")?" selected":""?>>Haiti</option>
<option value="Holy See"<?= (@$info->apply_country=="Holy See")?" selected":""?>>Holy See</option>
<option value="Honduras"<?= (@$info->apply_country=="Honduras")?" selected":""?>>Honduras</option>
<option value="Hong Kong"<?= (@$info->apply_country=="Hong Kong")?" selected":""?>>Hong Kong</option>
<option value="Hong Kong Sar"<?= (@$info->apply_country=="Hong Kong Sar")?" selected":""?>>Hong Kong Sar</option>
<option value="Hungary"<?= (@$info->apply_country=="Hungary")?" selected":""?>>Hungary</option>
<option value="Iceland"<?= (@$info->apply_country=="Iceland")?" selected":""?>>Iceland</option>
<option value="India"<?= (@$info->apply_country=="India")?" selected":""?>>India</option>
<option value="Indonesia, Republic Of"<?= (@$info->apply_country=="Indonesia, Republic Of")?" selected":""?>>Indonesia, Republic Of</option>
<option value="Iran"<?= (@$info->apply_country=="Iran")?" selected":""?>>Iran</option>
<option value="Iraq"<?= (@$info->apply_country=="Iraq")?" selected":""?>>Iraq</option>
<option value="Ireland, Republic Of"<?= (@$info->apply_country=="Ireland, Republic Of")?" selected":""?>>Ireland, Republic Of</option>
<option value="Israel"<?= (@$info->apply_country=="Israel")?" selected":""?>>Israel</option>
<option value="Italy"<?= (@$info->apply_country=="Italy")?" selected":""?>>Italy</option>
<option value="Ivory Coast, Republic"<?= (@$info->apply_country=="Ivory Coast, Republic")?" selected":""?>>Ivory Coast, Republic</option>
<option value="Jamaica"<?= (@$info->apply_country=="Jamaica")?" selected":""?>>Jamaica</option>
<option value="Japan"<?= (@$info->apply_country=="Japan")?" selected":""?>>Japan</option>
<option value="Jordan"<?= (@$info->apply_country=="Jordan")?" selected":""?>>Jordan</option>
<option value="Kazakhstan"<?= (@$info->apply_country=="Kazakhstan")?" selected":""?>>Kazakhstan</option>
<option value="Kenya"<?= (@$info->apply_country=="Kenya")?" selected":""?>>Kenya</option>
<option value="Kiribati"<?= (@$info->apply_country=="Kiribati")?" selected":""?>>Kiribati</option>
<option value="Korea (North)"<?= (@$info->apply_country=="Korea (North)")?" selected":""?>>Korea (North)</option>
<option value="Korea, Republic Of"<?= (@$info->apply_country=="Korea, Republic Of")?" selected":""?>>Korea, Republic Of</option>
<option value="Kuwait"<?= (@$info->apply_country=="Kuwait")?" selected":""?>>Kuwait</option>
<option value="Kyrgyzstan"<?= (@$info->apply_country=="Kyrgyzstan")?" selected":""?>>Kyrgyzstan</option>
<option value="Laos"<?= (@$info->apply_country=="Laos")?" selected":""?>>Laos</option>
<option value="Latvia"<?= (@$info->apply_country=="Latvia")?" selected":""?>>Latvia</option>
<option value="Lebanon"<?= (@$info->apply_country=="Lebanon")?" selected":""?>>Lebanon</option>
<option value="Lesotho"<?= (@$info->apply_country=="Lesotho")?" selected":""?>>Lesotho</option>
<option value="Liberia"<?= (@$info->apply_country=="Liberia")?" selected":""?>>Liberia</option>
<option value="Libya"<?= (@$info->apply_country=="Libya")?" selected":""?>>Libya</option>
<option value="Liechtenstein"<?= (@$info->apply_country=="Liechtenstein")?" selected":""?>>Liechtenstein</option>
<option value="Lithuania"<?= (@$info->apply_country=="Lithuania")?" selected":""?>>Lithuania</option>
<option value="Luxembourg"<?= (@$info->apply_country=="Luxembourg")?" selected":""?>>Luxembourg</option>
<option value="Macao"<?= (@$info->apply_country=="Macao")?" selected":""?>>Macao</option>
<option value="Macau SAR"<?= (@$info->apply_country=="Macau SAR")?" selected":""?>>Macau SAR</option>
<option value="Madagascar"<?= (@$info->apply_country=="Madagascar")?" selected":""?>>Madagascar</option>
<option value="Madeira"<?= (@$info->apply_country=="Madeira")?" selected":""?>>Madeira</option>
<option value="Malawi"<?= (@$info->apply_country=="Malawi")?" selected":""?>>Malawi</option>
<option value="Malaysia"<?= (@$info->apply_country=="Malaysia")?" selected":""?>>Malaysia</option>
<option value="Maldives, Republic Of"<?= (@$info->apply_country=="Maldives, Republic Of")?" selected":""?>>Maldives, Republic Of</option>
<option value="Mali, Republic Of"<?= (@$info->apply_country=="Mali, Republic Of")?" selected":""?>>Mali, Republic Of</option>
<option value="Malta"<?= (@$info->apply_country=="Malta")?" selected":""?>>Malta</option>
<option value="Marshall Islands"<?= (@$info->apply_country=="Marshall Islands")?" selected":""?>>Marshall Islands</option>
<option value="Martinique"<?= (@$info->apply_country=="Martinique")?" selected":""?>>Martinique</option>
<option value="Mauritania"<?= (@$info->apply_country=="Mauritania")?" selected":""?>>Mauritania</option>
<option value="Mauritius"<?= (@$info->apply_country=="Mauritius")?" selected":""?>>Mauritius</option>
<option value="Mayotte"<?= (@$info->apply_country=="Mayotte")?" selected":""?>>Mayotte</option>
<option value="Mexico"<?= (@$info->apply_country=="Mexico")?" selected":""?>>Mexico</option>
<option value="Moldova"<?= (@$info->apply_country=="Moldova")?" selected":""?>>Moldova</option>
<option value="Monaco"<?= (@$info->apply_country=="Monaco")?" selected":""?>>Monaco</option>
<option value="Mongolia, People's Republic Of"<?= (@$info->apply_country=="Mongolia, People's Republic Of")?" selected":""?>>Mongolia, People's Republic Of</option>
<option value="Montenegro, Republic Of"<?= (@$info->apply_country=="Montenegro, Republic Of")?" selected":""?>>Montenegro, Republic Of</option>
<option value="Montserrat"<?= (@$info->apply_country=="Montserrat")?" selected":""?>>Montserrat</option>
<option value="Morocco"<?= (@$info->apply_country=="Morocco")?" selected":""?>>Morocco</option>
<option value="Monzambique"<?= (@$info->apply_country=="Monzambique")?" selected":""?>>Monzambique</option>
<option value="Myanmar (Burma)"<?= (@$info->apply_country=="Myanmar (Burma)")?" selected":""?>>Myanmar (Burma)</option>
<option value="Namibia"<?= (@$info->apply_country=="Namibia")?" selected":""?>>Namibia</option>
<option value="Nauru"<?= (@$info->apply_country=="Nauru")?" selected":""?>>Nauru</option>
<option value="Nepal"<?= (@$info->apply_country=="Nepal")?" selected":""?>>Nepal</option>
<option value="Netherlands Antilles, The"<?= (@$info->apply_country=="Netherlands Antilles, The")?" selected":""?>>Netherlands Antilles, The</option>
<option value="Netherlands, The"<?= (@$info->apply_country=="Netherlands, The")?" selected":""?>>Netherlands, The</option>
<option value="Nevis"<?= (@$info->apply_country=="Nevis")?" selected":""?>>Nevis</option>
<option value="New Caledonia"<?= (@$info->apply_country=="New Caledonia")?" selected":""?>>New Caledonia</option>
<option value="New Zealand"<?= (@$info->apply_country=="New Zealand")?" selected":""?>>New Zealand</option>
<option value="Nicaragua"<?= (@$info->apply_country=="Nicaragua")?" selected":""?>>Nicaragua</option>
<option value="Niger, Republic Of The"<?= (@$info->apply_country=="Niger, Republic Of The")?" selected":""?>>Niger, Republic Of The</option>
<option value="Nigeria"<?= (@$info->apply_country=="Nigeria")?" selected":""?>>Nigeria</option>
<option value="Northern Ireland"<?= (@$info->apply_country=="Northern Ireland")?" selected":""?>>Northern Ireland</option>
<option value="Northern Mariana Islands"<?= (@$info->apply_country=="Northern Mariana Islands")?" selected":""?>>Northern Mariana Islands</option>
<option value="Norway"<?= (@$info->apply_country=="Norway")?" selected":""?>>Norway</option>
<option value="Oman"<?= (@$info->apply_country=="Oman")?" selected":""?>>Oman</option>
<option value="Pakistan"<?= (@$info->apply_country=="Pakistan")?" selected":""?>>Pakistan</option>
<option value="Palestinian Autho.Gaza/W Bank"<?= (@$info->apply_country=="Palestinian Autho.Gaza/W Bank")?" selected":""?>>Palestinian Autho.Gaza/W Bank</option>
<option value="Panama, Republic Of"<?= (@$info->apply_country=="Panama, Republic Of")?" selected":""?>>Panama, Republic Of</option>
<option value="Papua New Guinea"<?= (@$info->apply_country=="Papua New Guinea")?" selected":""?>>Papua New Guinea</option>
<option value="Paraguay"<?= (@$info->apply_country=="Paraguay")?" selected":""?>>Paraguay</option>
<option value="Peru"<?= (@$info->apply_country=="Peru")?" selected":""?>>Peru</option>
<option value="Philippines"<?= (@$info->apply_country=="Philippines")?" selected":""?>>Philippines</option>
<option value="Pitcairn Island"<?= (@$info->apply_country=="Pitcairn Island")?" selected":""?>>Pitcairn Island</option>
<option value="poland"<?= (@$info->apply_country=="poland")?" selected":""?>>poland</option>
<option value="Portugal"<?= (@$info->apply_country=="Portugal")?" selected":""?>>Portugal</option>
<option value="Puerto Rico"<?= (@$info->apply_country=="Puerto Rico")?" selected":""?>>Puerto Rico</option>
<option value="Qatar"<?= (@$info->apply_country=="Qatar")?" selected":""?>>Qatar</option>
<option value="Republic Of Kosovo"<?= (@$info->apply_country=="Republic Of Kosovo")?" selected":""?>>Republic Of Kosovo</option>
<option value="Republic Of Palau"<?= (@$info->apply_country=="Republic Of Palau")?" selected":""?>>Republic Of Palau</option>
<option value="Reunion"<?= (@$info->apply_country=="Reunion")?" selected":""?>>Reunion</option>
<option value="Romania"<?= (@$info->apply_country=="Romania")?" selected":""?>>Romania</option>
<option value="Russia"<?= (@$info->apply_country=="Russia")?" selected":""?>>Russia</option>
<option value="Rwanda"<?= (@$info->apply_country=="Rwanda")?" selected":""?>>Rwanda</option>
<option value="Samoa, American"<?= (@$info->apply_country=="Samoa, American")?" selected":""?>>Samoa, American</option>
<option value="Samoa, Western"<?= (@$info->apply_country=="Samoa, Western")?" selected":""?>>Samoa, Western</option>
<option value="San Marino"<?= (@$info->apply_country=="San Marino")?" selected":""?>>San Marino</option>
<option value="Sao Tome E Principe"<?= (@$info->apply_country=="Sao Tome E Principe")?" selected":""?>>Sao Tome E Principe</option>
<option value="Saudi Arabia"<?= (@$info->apply_country=="Saudi Arabia")?" selected":""?>>Saudi Arabia</option>
<option value="Scotland"<?= (@$info->apply_country=="Scotland")?" selected":""?>>Scotland</option>
<option value="Senegal"<?= (@$info->apply_country=="Senegal")?" selected":""?>>Senegal</option>
<option value="Serbia And Montenegro"<?= (@$info->apply_country=="Serbia And Montenegro")?" selected":""?>>Serbia And Montenegro</option>
<option value="Serbia, Republic Of"<?= (@$info->apply_country=="Serbia, Republic Of")?" selected":""?>>Serbia, Republic Of</option>
<option value="Seychelles"<?= (@$info->apply_country=="Seychelles")?" selected":""?>>Seychelles</option>
<option value="Sierra Leone"<?= (@$info->apply_country=="Sierra Leone")?" selected":""?>>Sierra Leone</option>
<option value="Singapore"<?= (@$info->apply_country=="Singapore")?" selected":""?>>Singapore</option>
<option value="Slovak Republic"<?= (@$info->apply_country=="Slovak Republic")?" selected":""?>>Slovak Republic</option>
<option value="Slovenia"<?= (@$info->apply_country=="Slovenia")?" selected":""?>>Slovenia</option>
<option value="Solomons, The"<?= (@$info->apply_country=="Solomons, The")?" selected":""?>>Solomons, The</option>
<option value="Somali Republic"<?= (@$info->apply_country=="Somali Republic")?" selected":""?>>Somali Republic</option>
<option value="South Africa, Republic Of"<?= (@$info->apply_country=="South Africa, Republic Of")?" selected":""?>>South Africa, Republic Of</option>
<option value="Southern Antarctic Territories"<?= (@$info->apply_country=="Southern Antarctic Territories")?" selected":""?>>Southern Antarctic Territories</option>
<option value="Spain"<?= (@$info->apply_country=="Spain")?" selected":""?>>Spain</option>
<option value="Sri Lanka"<?= (@$info->apply_country=="Sri Lanka")?" selected":""?>>Sri Lanka</option>
<option value="St. Helena"<?= (@$info->apply_country=="St. Helena")?" selected":""?>>St. Helena</option>
<option value="St. Kitts-Nevis"<?= (@$info->apply_country=="St. Kitts-Nevis")?" selected":""?>>St. Kitts-Nevis</option>
<option value="St. Lucia"<?= (@$info->apply_country=="St. Lucia")?" selected":""?>>St. Lucia</option>
<option value="St. Pierre Et Miquelon"<?= (@$info->apply_country=="St. Pierre Et Miquelon")?" selected":""?>>St. Pierre Et Miquelon</option>
<option value="St. Vincent and the Grenadines"<?= (@$info->apply_country=="St. Vincent and the Grenadines")?" selected":""?>>St. Vincent and the Grenadines</option>
<option value="Sudan, Democratic Republic Of"<?= (@$info->apply_country=="Sudan, Democratic Republic Of")?" selected":""?>>Sudan, Democratic Republic Of</option>
<option value="Surinam"<?= (@$info->apply_country=="Surinam")?" selected":""?>>Surinam</option>
<option value="Swaziland"<?= (@$info->apply_country=="Swaziland")?" selected":""?>>Swaziland</option>
<option value="Sweden"<?= (@$info->apply_country=="Sweden")?" selected":""?>>Sweden</option>
<option value="Switzerland"<?= (@$info->apply_country=="Switzerland")?" selected":""?>>Switzerland</option>
<option value="Syria"<?= (@$info->apply_country=="Syria")?" selected":""?>>Syria</option>
<option value="Tadjikistan"<?= (@$info->apply_country=="Tadjikistan")?" selected":""?>>Tadjikistan</option>
<option value="Taiwan"<?= (@$info->apply_country=="Taiwan")?" selected":""?>>Taiwan</option>
<option value="Tanzania, United Republic Of"<?= (@$info->apply_country=="Tanzania, United Republic Of")?" selected":""?>>Tanzania, United Republic Of</option>
<option value="Thailand"<?= (@$info->apply_country=="Thailand")?" selected":""?>>Thailand</option>
<option value="Tibet"<?= (@$info->apply_country=="Tibet")?" selected":""?>>Tibet</option>
<option value="Togo, Republic Of"<?= (@$info->apply_country=="Togo, Republic Of")?" selected":""?>>Togo, Republic Of</option>
<option value="Tonga"<?= (@$info->apply_country=="Tonga")?" selected":""?>>Tonga</option>
<option value="Trinidad & Tobago, Republic Of"<?= (@$info->apply_country=="Trinidad & Tobago, Republic Of")?" selected":""?>>Trinidad & Tobago, Republic Of</option>
<option value="Tunisia"<?= (@$info->apply_country=="Tunisia")?" selected":""?>>Tunisia</option>
<option value="Turkey"<?= (@$info->apply_country=="Turkey")?" selected":""?>>Turkey</option>
<option value="Turkmenistan"<?= (@$info->apply_country=="Turkmenistan")?" selected":""?>>Turkmenistan</option>
<option value="Turks And Caicos Islands"<?= (@$info->apply_country=="Turks And Caicos Islands")?" selected":""?>>Turks And Caicos Islands</option>
<option value="Tuvalu"<?= (@$info->apply_country=="Tuvalu")?" selected":""?>>Tuvalu</option>
<option value="Uganda"<?= (@$info->apply_country=="Uganda")?" selected":""?>>Uganda</option>
<option value="Ukraine"<?= (@$info->apply_country=="Ukraine")?" selected":""?>>Ukraine</option>
<option value="Union Of Soviet Socialist Rep"<?= (@$info->apply_country=="Union Of Soviet Socialist Rep")?" selected":""?>>Union Of Soviet Socialist Rep</option>
<option value="united Arab Emirates"<?= (@$info->apply_country=="united Arab Emirates")?" selected":""?>>united Arab Emirates</option>
<option value="United States of America"<?= (@$info->apply_country=="United States of America")?" selected":""?>>United States of America</option>
<option value="Unknown"<?= (@$info->apply_country=="Unknown")?" selected":""?>>Unknown</option>
<option value="Uruguay"<?= (@$info->apply_country=="Uruguay")?" selected":""?>>Uruguay</option>
<option value="Uzbekistan"<?= (@$info->apply_country=="Uzbekistan")?" selected":""?>>Uzbekistan</option>
<option value="Vanuatu"<?= (@$info->apply_country=="Vanuatu")?" selected":""?>>Vanuatu</option>
<option value="Venezuela"<?= (@$info->apply_country=="Venezuela")?" selected":""?>>Venezuela</option>
<option value="Vietnam, Socialist Republic Of"<?= (@$info->apply_country=="Vietnam, Socialist Republic Of")?" selected":""?>>Vietnam, Socialist Republic Of</option>
<option value="Virgin Islands, British"<?= (@$info->apply_country=="Virgin Islands, British")?" selected":""?>>Virgin Islands, British</option>
<option value="Virgin Islands, U.s."<?= (@$info->apply_country=="Virgin Islands, U.s.")?" selected":""?>>Virgin Islands, U.s.</option>
<option value="Wales"<?= (@$info->apply_country=="Wales")?" selected":""?>>Wales</option>
<option value="Wallis And Futuna"<?= (@$info->apply_country=="Wallis And Futuna")?" selected":""?>>Wallis And Futuna</option>
<option value="Western Sahara"<?= (@$info->apply_country=="Western Sahara")?" selected":""?>>Western Sahara</option>
<option value="Yemen, Republic Of"<?= (@$info->apply_country=="Yemen, Republic Of")?" selected":""?>>Yemen, Republic Of</option>
<option value="Yugoslavia"<?= (@$info->apply_country=="Yugoslavia")?" selected":""?>>Yugoslavia</option>
<option value="Zambia"<?= (@$info->apply_country=="Zambia")?" selected":""?>>Zambia</option>
<option value="Zimbabwe"<?= (@$info->apply_country=="Zimbabwe")?" selected":""?>>Zimbabwe</option>
			</select>
Status
<select name="apply_status">
<option></option>
<option value="Citizen"<?= (@$info->apply_status=="Citizen")?" selected":""?>>Citizen</option>
<option value="Permanent resident"<?= (@$info->apply_status=="Permanent resident")?" selected":""?>>Permanent resident</option>
<option value="Visitor"<?= (@$info->apply_status=="Visitor")?" selected":""?>>Visitor</option>
<option value="Worker"<?= (@$info->apply_status=="Worker")?" selected":""?>>Worker</option>
<option value="Student"<?= (@$info->apply_status=="Student")?" selected":""?>>Student</option>
<option value="Other"<?= (@$info->apply_status=="Other")?" selected":""?>>Other</option>
<option value="Protected Person"<?= (@$info->apply_status=="Protected Person")?" selected":""?>>Protected Person</option>
<option value="Refugee Claimant"<?= (@$info->apply_status=="Refugee Claimant")?" selected":""?>>Refugee Claimant</option>			</select>
Other
<input type="text" name="apply_other" value="<?= @$info->apply_other?>" />
<br />
From
<input type="text" name="apply_from" value="<?= @$info->apply_from?>" id="apply_from" />
YYYY-MM-DD To
<input type="text" name="apply_to" value="<?= @$info->apply_to?>" id="apply_to" />
YYYY-MM-DD</td>
        </tr>
        <tr class="even">
            <td colspan="5">10. a) Your current marital status: 
	<select name="marital_status">
	<option></option>
	<option value="Annulled Marriage"<?= (@$info->marital_status=="Annulled Marriage")?" selected":""?>>Annulled Marriage</option>
	<option value="Common-Law"<?= (@$info->marital_status=="Common-Law")?" selected":""?>>Common-Law</option>
	<option value="Divorced"<?= (@$info->marital_status=="Divorced")?" selected":""?>>Divorced</option>
	<option value="Legally Separated"<?= (@$info->marital_status=="Legally Separated")?" selected":""?>>Legally Separated</option>
	<option value="Married"<?= (@$info->marital_status=="Married")?" selected":""?>>Married</option>
	<option value="Single"<?= (@$info->marital_status=="Single")?" selected":""?>>Single</option>
	<option value="Widowed"<?= (@$info->marital_status=="Widowed")?" selected":""?>>Widowed</option>
	</select>
              <br />
              b) (If you are married or in a common-law relationship) Provide the date on which you were married or entered into the common-law relationship <br />
              ▶ Date 
              <input type="text" name="marry_date" value="<?= @$info->marry_date?>" id="marry_date" />               YYYY-MM-DD<br />
              c) Provide the name of your current Spouse/Common-law partner<br />
              ▶ Family name 
              <input type="text" name="spouse_surname" value="<?= @$info->spouse_surname?>" />              
               &nbsp;&nbsp;&nbsp; Given name(s) 
              <input type="text" name="spouse_firstname" value="<?= @$info->spouse_firstname?>" /></td>
        </tr>		
        <tr class="odd">
            <td colspan="4">11 Have you previously been married or in a common-law relationship?</td>
            <td>
			<input type="radio" name="has_pre_married" value="0" <?= (@$info->has_pre_married==0)?'checked':''?> />No 
        	<input type="radio" name="has_pre_married" value="1" <?= (@$info->has_pre_married==1)?'checked':''?> />Yes</td>
        </tr>
        <tr class="even">
            <td colspan="5">Provide the following details for your previous Spouse/Common-law Partner:<br />
              Family name 
              <input type="text" name="pre_spouse_surname" value="<?= @$info->pre_spouse_surname?>" />
&nbsp;&nbsp;&nbsp; Given name(s)
<input type="text" name="pre_spouse_firstname" value="<?= @$info->pre_spouse_firstname?>" />
&nbsp;&nbsp;&nbsp; Type of relationship 
<select name="pre_married_relationship">
<option></option>
<option value="Common-Law"<?= (@$info->pre_married_relationship=="Common-Law")?" selected":""?>>Common-Law</option>
<option value="Married"<?= (@$info->marital_status=="Married")?" selected":""?>>Married</option>
</select>
<br />
From
<input type="text" name="pre_married_from" value="<?= @$info->pre_married_from?>" id="pre_married_from" />
YYYY-MM-DD To
<input type="text" name="pre_married_to" value="<?= @$info->pre_married_to?>" id="pre_married_to" />
YYYY-MM-DD</td>
        </tr>
        <tr class="odd">
            <td colspan="5"><strong>LANGUAGE(S)</strong></td>
        </tr>
        <tr class="even">
            <td colspan="5">1 a) Native language 
              <select name="language">
<option></option>
<option value="Ada"<?= (@$info->language=="Ada" )?" selected":""?>>Ada</option>
<option value="Adama"<?= (@$info->language=="Adama" )?" selected":""?>>Adama</option>
<option value="Afar"<?= (@$info->language=="Afar" )?" selected":""?>>Afar</option>
<option value="Afghan"<?= (@$info->language=="Afghan" )?" selected":""?>>Afghan</option>
<option value="Afrikaans"<?= (@$info->language=="Afrikaans" )?" selected":""?>>Afrikaans</option>
<option value="Agbor"<?= (@$info->language=="Agbor" )?" selected":""?>>Agbor</option>
<option value="Aka"<?= (@$info->language=="Aka" )?" selected":""?>>Aka</option>
<option value="Akan"<?= (@$info->language=="Akan" )?" selected":""?>>Akan</option>
<option value="Akim"<?= (@$info->language=="Akim" )?" selected":""?>>Akim</option>
<option value="Aklanon"<?= (@$info->language=="Aklanon" )?" selected":""?>>Aklanon</option>
<option value="Akra"<?= (@$info->language=="Akra" )?" selected":""?>>Akra</option>
<option value="Akwapim"<?= (@$info->language=="Akwapim" )?" selected":""?>>Akwapim</option>
<option value="Albanian"<?= (@$info->language=="Albanian" )?" selected":""?>>Albanian</option>
<option value="Albanian,Greece"<?= (@$info->language=="Albanian,Greece" )?" selected":""?>>Albanian,Greece</option>
<option value="Albanian,Italy"<?= (@$info->language=="Albanian,Italy" )?" selected":""?>>Albanian,Italy</option>
<option value="American Sign Lang."<?= (@$info->language=="American Sign Lang." )?" selected":""?>>American Sign Lang.</option>
<option value="Amharic"<?= (@$info->language=="Amharic" )?" selected":""?>>Amharic</option>
<option value="Arabic"<?= (@$info->language=="Arabic" )?" selected":""?>>Arabic</option>
<option value="Arabic Standard"<?= (@$info->language=="Arabic Standard" )?" selected":""?>>Arabic Standard</option>
<option value="Arabic,Algeria"<?= (@$info->language=="Arabic,Algeria" )?" selected":""?>>Arabic,Algeria</option>
<option value="Arabic,chad"<?= (@$info->language=="Arabic,chad" )?" selected":""?>>Arabic,chad</option>
<option value="Arabic,Egypt"<?= (@$info->language=="Arabic,Egypt" )?" selected":""?>>Arabic,Egypt</option>
<option value="Arabic,Irak"<?= (@$info->language=="Arabic,Irak" )?" selected":""?>>Arabic,Irak</option>
<option value="Arabic,Lebanon,Levantine"<?= (@$info->language=="Arabic,Lebanon,Levantine" )?" selected":""?>>Arabic,Lebanon,Levantine</option>
<option value="Arabic,Libya"<?= (@$info->language=="Arabic,Libya" )?" selected":""?>>Arabic,Libya</option>
<option value="Arabic,Morocco"<?= (@$info->language=="Arabic,Morocco" )?" selected":""?>>Arabic,Morocco</option>
<option value="Arabic,Sudan"<?= (@$info->language=="Arabic,Sudan" )?" selected":""?>>Arabic,Sudan</option>
<option value="Arabic,Syria"<?= (@$info->language=="Arabic,Syria" )?" selected":""?>>Arabic,Syria</option>
<option value="Arabic,Tunisia"<?= (@$info->language=="Arabic,Tunisia" )?" selected":""?>>Arabic,Tunisia</option>
<option value="Arabic,Yemen,Judeo-Yemeni"<?= (@$info->language=="Arabic,Yemen,Judeo-Yemeni" )?" selected":""?>>Arabic,Yemen,Judeo-Yemeni</option>
<option value="Aranese"<?= (@$info->language=="Aranese" )?" selected":""?>>Aranese</option>
<option value="Armenian"<?= (@$info->language=="Armenian" )?" selected":""?>>Armenian</option>
<option value="Armenian,West"<?= (@$info->language=="Armenian,West" )?" selected":""?>>Armenian,West</option>
<option value="Armenian,Western"<?= (@$info->language=="Armenian,Western" )?" selected":""?>>Armenian,Western</option>
<option value="Ashanti"<?= (@$info->language=="Ashanti" )?" selected":""?>>Ashanti</option>
<option value="Assyrian"<?= (@$info->language=="Assyrian" )?" selected":""?>>Assyrian</option>
<option value="Atwot"<?= (@$info->language=="Atwot" )?" selected":""?>>Atwot</option>
<option value="Azerbaijani,North"<?= (@$info->language=="Azerbaijani,North" )?" selected":""?>>Azerbaijani,North</option>
<option value="Azerbaijani,South"<?= (@$info->language=="Azerbaijani,South" )?" selected":""?>>Azerbaijani,South</option>
<option value="Azeri"<?= (@$info->language=="Azeri" )?" selected":""?>>Azeri</option>
<option value="Bajuni"<?= (@$info->language=="Bajuni" )?" selected":""?>>Bajuni</option>
<option value="Balochi east Pak"<?= (@$info->language=="Balochi east Pak" )?" selected":""?>>Balochi east Pak</option>
<option value="Balochi South Pak"<?= (@$info->language=="Balochi South Pak" )?" selected":""?>>Balochi South Pak</option>
<option value="Balochi West Pak"<?= (@$info->language=="Balochi West Pak" )?" selected":""?>>Balochi West Pak</option>
<option value="Baluchi"<?= (@$info->language=="Baluchi" )?" selected":""?>>Baluchi</option>
<option value="Bambara"<?= (@$info->language=="Bambara" )?" selected":""?>>Bambara</option>
<option value="Bamileke"<?= (@$info->language=="Bamileke" )?" selected":""?>>Bamileke</option>
<option value="Bantu"<?= (@$info->language=="Bantu" )?" selected":""?>>Bantu</option>
<option value="Baoule"<?= (@$info->language=="Baoule" )?" selected":""?>>Baoule</option>
<option value="Barawa"<?= (@$info->language=="Barawa" )?" selected":""?>>Barawa</option>
<option value="Barbawa"<?= (@$info->language=="Barbawa" )?" selected":""?>>Barbawa</option>
<option value="Bassa"<?= (@$info->language=="Bassa" )?" selected":""?>>Bassa</option>
<option value="Belen"<?= (@$info->language=="Belen" )?" selected":""?>>Belen</option>
<option value="Bemba"<?= (@$info->language=="Bemba" )?" selected":""?>>Bemba</option>
<option value="Bengali"<?= (@$info->language=="Bengali" )?" selected":""?>>Bengali</option>
<option value="Bengali Sylhetti"<?= (@$info->language=="Bengali Sylhetti" )?" selected":""?>>Bengali Sylhetti</option>
<option value="beni"<?= (@$info->language=="beni" )?" selected":""?>>beni</option>
<option value="Benin"<?= (@$info->language=="Benin" )?" selected":""?>>Benin</option>
<option value="Berber"<?= (@$info->language=="Berber" )?" selected":""?>>Berber</option>
<option value="Bikol"<?= (@$info->language=="Bikol" )?" selected":""?>>Bikol</option>
<option value="Bini"<?= (@$info->language=="Bini" )?" selected":""?>>Bini</option>
<option value="Bissa"<?= (@$info->language=="Bissa" )?" selected":""?>>Bissa</option>
<option value="Boguni"<?= (@$info->language=="Boguni" )?" selected":""?>>Boguni</option>
<option value="Bontok"<?= (@$info->language=="Bontok" )?" selected":""?>>Bontok</option>
<option value="Bosnian"<?= (@$info->language=="Bosnian" )?" selected":""?>>Bosnian</option>
<option value="Brava"<?= (@$info->language=="Brava" )?" selected":""?>>Brava</option>
<option value="Breton"<?= (@$info->language=="Breton" )?" selected":""?>>Breton</option>
<option value="British Sign Language"<?= (@$info->language=="British Sign Language" )?" selected":""?>>British Sign Language</option>
<option value="Brong"<?= (@$info->language=="Brong" )?" selected":""?>>Brong</option>
<option value="Buganda"<?= (@$info->language=="Buganda" )?" selected":""?>>Buganda</option>
<option value="Bulgarian"<?= (@$info->language=="Bulgarian" )?" selected":""?>>Bulgarian</option>
<option value="Burmese"<?= (@$info->language=="Burmese" )?" selected":""?>>Burmese</option>
<option value="Busan"<?= (@$info->language=="Busan" )?" selected":""?>>Busan</option>
<option value="Cambodian"<?= (@$info->language=="Cambodian" )?" selected":""?>>Cambodian</option>
<option value="Cantonese"<?= (@$info->language=="Cantonese" )?" selected":""?>>Cantonese</option>
<option value="Capizeno"<?= (@$info->language=="Capizeno" )?" selected":""?>>Capizeno</option>
<option value="Catalan"<?= (@$info->language=="Catalan" )?" selected":""?>>Catalan</option>
<option value="Cebuano"<?= (@$info->language=="Cebuano" )?" selected":""?>>Cebuano</option>
<option value="Chadian Sign Language"<?= (@$info->language=="Chadian Sign Language" )?" selected":""?>>Chadian Sign Language</option>
<option value="Chakma"<?= (@$info->language=="Chakma" )?" selected":""?>>Chakma</option>
<option value="Chaldean"<?= (@$info->language=="Chaldean" )?" selected":""?>>Chaldean</option>
<option value="Changle"<?= (@$info->language=="Changle" )?" selected":""?>>Changle</option>
<option value="chaocho"<?= (@$info->language=="chaocho" )?" selected":""?>>chaocho</option>
<option value="Chavacano"<?= (@$info->language=="Chavacano" )?" selected":""?>>Chavacano</option>
<option value="Chechen"<?= (@$info->language=="Chechen" )?" selected":""?>>Chechen</option>
<option value="Chichewa"<?= (@$info->language=="Chichewa" )?" selected":""?>>Chichewa</option>
<option value="Chinese"<?= (@$info->language=="Chinese" )?" selected":""?>>Chinese</option>
<option value="Chinese,Min Nan"<?= (@$info->language=="Chinese,Min Nan" )?" selected":""?>>Chinese,Min Nan</option>
<option value="Chinese,Yue"<?= (@$info->language=="Chinese,Yue" )?" selected":""?>>Chinese,Yue</option>
<option value="Chinese,Yuh"<?= (@$info->language=="Chinese,Yuh" )?" selected":""?>>Chinese,Yuh</option>
<option value="Chowchau"<?= (@$info->language=="Chowchau" )?" selected":""?>>Chowchau</option>
<option value="Chung Shan"<?= (@$info->language=="Chung Shan" )?" selected":""?>>Chung Shan</option>
<option value="Comorian"<?= (@$info->language=="Comorian" )?" selected":""?>>Comorian</option>
<option value="Concani"<?= (@$info->language=="Concani" )?" selected":""?>>Concani</option>
<option value="Creole"<?= (@$info->language=="Creole" )?" selected":""?>>Creole</option>
<option value="Creole,Haiti"<?= (@$info->language=="Creole,Haiti" )?" selected":""?>>Creole,Haiti</option>
<option value="Croatian"<?= (@$info->language=="Croatian" )?" selected":""?>>Croatian</option>
<option value="Czech"<?= (@$info->language=="Czech" )?" selected":""?>>Czech</option>
<option value="Dangbe"<?= (@$info->language=="Dangbe" )?" selected":""?>>Dangbe</option>
<option value="Danish"<?= (@$info->language=="Danish" )?" selected":""?>>Danish</option>
<option value="Dari"<?= (@$info->language=="Dari" )?" selected":""?>>Dari</option>
<option value="Dari,Peve"<?= (@$info->language=="Dari,Peve" )?" selected":""?>>Dari,Peve</option>
<option value="Dari/Farsi,Eastern"<?= (@$info->language=="Dari/Farsi,Eastern" )?" selected":""?>>Dari/Farsi,Eastern</option>
<option value="Deaf-mute"<?= (@$info->language=="Deaf-mute" )?" selected":""?>>Deaf-mute</option>
<option value="Dendi"<?= (@$info->language=="Dendi" )?" selected":""?>>Dendi</option>
<option value="Dhopadhola"<?= (@$info->language=="Dhopadhola" )?" selected":""?>>Dhopadhola</option>
<option value="Diakanke"<?= (@$info->language=="Diakanke" )?" selected":""?>>Diakanke</option>
<option value="Dinka,Northeastern"<?= (@$info->language=="Dinka,Northeastern" )?" selected":""?>>Dinka,Northeastern</option>
<option value="Dinka,Northwestern"<?= (@$info->language=="Dinka,Northwestern" )?" selected":""?>>Dinka,Northwestern</option>
<option value="Dinka,South Central"<?= (@$info->language=="Dinka,South Central" )?" selected":""?>>Dinka,South Central</option>
<option value="Dinka,Southern"<?= (@$info->language=="Dinka,Southern" )?" selected":""?>>Dinka,Southern</option>
<option value="Dinka,Southwestern,Twi,Tuic"<?= (@$info->language=="Dinka,Southwestern,Twi,Tuic" )?" selected":""?>>Dinka,Southwestern,Twi,Tuic</option>
<option value="Dioula"<?= (@$info->language=="Dioula" )?" selected":""?>>Dioula</option>
<option value="Divehi"<?= (@$info->language=="Divehi" )?" selected":""?>>Divehi</option>
<option value="Divehi,Maldivian"<?= (@$info->language=="Divehi,Maldivian" )?" selected":""?>>Divehi,Maldivian</option>
<option value="Dogri"<?= (@$info->language=="Dogri" )?" selected":""?>>Dogri</option>
<option value="Dutch"<?= (@$info->language=="Dutch" )?" selected":""?>>Dutch</option>
<option value="Eastern Armenian"<?= (@$info->language=="Eastern Armenian" )?" selected":""?>>Eastern Armenian</option>
<option value="Edo"<?= (@$info->language=="Edo" )?" selected":""?>>Edo</option>
<option value="Edo,Kailo,Ledo"<?= (@$info->language=="Edo,Kailo,Ledo" )?" selected":""?>>Edo,Kailo,Ledo</option>
<option value="Efik"<?= (@$info->language=="Efik" )?" selected":""?>>Efik</option>
<option value="English"<?= (@$info->language=="English" )?" selected":""?>>English</option>
<option value="Enping"<?= (@$info->language=="Enping" )?" selected":""?>>Enping</option>
<option value="Eritrean"<?= (@$info->language=="Eritrean" )?" selected":""?>>Eritrean</option>
<option value="Esan"<?= (@$info->language=="Esan" )?" selected":""?>>Esan</option>
<option value="Estonian"<?= (@$info->language=="Estonian" )?" selected":""?>>Estonian</option>
<option value="Ewe"<?= (@$info->language=="Ewe" )?" selected":""?>>Ewe</option>
<option value="Fang"<?= (@$info->language=="Fang" )?" selected":""?>>Fang</option>
<option value="Fanti"<?= (@$info->language=="Fanti" )?" selected":""?>>Fanti</option>
<option value="Farsi"<?= (@$info->language=="Farsi" )?" selected":""?>>Farsi</option>
<option value="Farsi,Western"<?= (@$info->language=="Farsi,Western" )?" selected":""?>>Farsi,Western</option>
<option value="Fiji"<?= (@$info->language=="Fiji" )?" selected":""?>>Fiji</option>
<option value="Findhi"<?= (@$info->language=="Findhi" )?" selected":""?>>Findhi</option>
<option value="Finnish"<?= (@$info->language=="Finnish" )?" selected":""?>>Finnish</option>
<option value="Flemish"<?= (@$info->language=="Flemish" )?" selected":""?>>Flemish</option>
<option value="Fon"<?= (@$info->language=="Fon" )?" selected":""?>>Fon</option>
<option value="Foochow"<?= (@$info->language=="Foochow" )?" selected":""?>>Foochow</option>
<option value="Foullah"<?= (@$info->language=="Foullah" )?" selected":""?>>Foullah</option>
<option value="Frafra"<?= (@$info->language=="Frafra" )?" selected":""?>>Frafra</option>
<option value="Frafra,Gurenne"<?= (@$info->language=="Frafra,Gurenne" )?" selected":""?>>Frafra,Gurenne</option>
<option value="French"<?= (@$info->language=="French" )?" selected":""?>>French</option>
<option value="Fujian"<?= (@$info->language=="Fujian" )?" selected":""?>>Fujian</option>
<option value="Fukien"<?= (@$info->language=="Fukien" )?" selected":""?>>Fukien</option>
<option value="Fulani"<?= (@$info->language=="Fulani" )?" selected":""?>>Fulani</option>
<option value="Fuqing"<?= (@$info->language=="Fuqing" )?" selected":""?>>Fuqing</option>
<option value="Futa"<?= (@$info->language=="Futa" )?" selected":""?>>Futa</option>
<option value="Ga"<?= (@$info->language=="Ga" )?" selected":""?>>Ga</option>
<option value="Ga,Adangme-Krobo"<?= (@$info->language=="Ga,Adangme-Krobo" )?" selected":""?>>Ga,Adangme-Krobo</option>
<option value="Gaelic"<?= (@$info->language=="Gaelic" )?" selected":""?>>Gaelic</option>
<option value="Georgian"<?= (@$info->language=="Georgian" )?" selected":""?>>Georgian</option>
<option value="German"<?= (@$info->language=="German" )?" selected":""?>>German</option>
<option value="Gio"<?= (@$info->language=="Gio" )?" selected":""?>>Gio</option>
<option value="Gio,Gio-Dan"<?= (@$info->language=="Gio,Gio-Dan" )?" selected":""?>>Gio,Gio-Dan</option>
<option value="Greek"<?= (@$info->language=="Greek" )?" selected":""?>>Greek</option>
<option value="Guerze"<?= (@$info->language=="Guerze" )?" selected":""?>>Guerze</option>
<option value="Gujarati"<?= (@$info->language=="Gujarati" )?" selected":""?>>Gujarati</option>
<option value="Gurage"<?= (@$info->language=="Gurage" )?" selected":""?>>Gurage</option>
<option value="Gurage,East"<?= (@$info->language=="Gurage,East" )?" selected":""?>>Gurage,East</option>
<option value="Gurage,North"<?= (@$info->language=="Gurage,North" )?" selected":""?>>Gurage,North</option>
<option value="Gurage,West"<?= (@$info->language=="Gurage,West" )?" selected":""?>>Gurage,West</option>
<option value="Guyanese"<?= (@$info->language=="Guyanese" )?" selected":""?>>Guyanese</option>
<option value="Guyroti"<?= (@$info->language=="Guyroti" )?" selected":""?>>Guyroti</option>
<option value="Gypsy"<?= (@$info->language=="Gypsy" )?" selected":""?>>Gypsy</option>
<option value="Hainanese"<?= (@$info->language=="Hainanese" )?" selected":""?>>Hainanese</option>
<option value="Hakka"<?= (@$info->language=="Hakka" )?" selected":""?>>Hakka</option>
<option value="Harara"<?= (@$info->language=="Harara" )?" selected":""?>>Harara</option>
<option value="Harary"<?= (@$info->language=="Harary" )?" selected":""?>>Harary</option>
<option value="Hargar"<?= (@$info->language=="Hargar" )?" selected":""?>>Hargar</option>
<option value="Hasanya"<?= (@$info->language=="Hasanya" )?" selected":""?>>Hasanya</option>
<option value="Hausa"<?= (@$info->language=="Hausa" )?" selected":""?>>Hausa</option>
<option value="Hebrew"<?= (@$info->language=="Hebrew" )?" selected":""?>>Hebrew</option>
<option value="Hebrew,Yemen"<?= (@$info->language=="Hebrew,Yemen" )?" selected":""?>>Hebrew,Yemen</option>
<option value="Henan/Jinyu"<?= (@$info->language=="Henan/Jinyu" )?" selected":""?>>Henan/Jinyu</option>
<option value="Hiligaynon"<?= (@$info->language=="Hiligaynon" )?" selected":""?>>Hiligaynon</option>
<option value="Hindi"<?= (@$info->language=="Hindi" )?" selected":""?>>Hindi</option>
<option value="Hindi Dogri"<?= (@$info->language=="Hindi Dogri" )?" selected":""?>>Hindi Dogri</option>
<option value="Hindi,Fijian"<?= (@$info->language=="Hindi,Fijian" )?" selected":""?>>Hindi,Fijian</option>
<option value="Hindi,Hin,Nyaheun"<?= (@$info->language=="Hindi,Hin,Nyaheun" )?" selected":""?>>Hindi,Hin,Nyaheun</option>
<option value="Hindko"<?= (@$info->language=="Hindko" )?" selected":""?>>Hindko</option>
<option value="Hindko,Northern"<?= (@$info->language=="Hindko,Northern" )?" selected":""?>>Hindko,Northern</option>
<option value="Hindko,Southern"<?= (@$info->language=="Hindko,Southern" )?" selected":""?>>Hindko,Southern</option>
<option value="Hindu,Hindi,Caribbean"<?= (@$info->language=="Hindu,Hindi,Caribbean" )?" selected":""?>>Hindu,Hindi,Caribbean</option>
<option value="Hokkien"<?= (@$info->language=="Hokkien" )?" selected":""?>>Hokkien</option>
<option value="Hubei"<?= (@$info->language=="Hubei" )?" selected":""?>>Hubei</option>
<option value="Huizhou/Yanzhou"<?= (@$info->language=="Huizhou/Yanzhou" )?" selected":""?>>Huizhou/Yanzhou</option>
<option value="Hunan/Xiang"<?= (@$info->language=="Hunan/Xiang" )?" selected":""?>>Hunan/Xiang</option>
<option value="Hungarian"<?= (@$info->language=="Hungarian" )?" selected":""?>>Hungarian</option>
<option value="Ibibio"<?= (@$info->language=="Ibibio" )?" selected":""?>>Ibibio</option>
<option value="icelandic"<?= (@$info->language=="icelandic" )?" selected":""?>>icelandic</option>
<option value="Igbo"<?= (@$info->language=="Igbo" )?" selected":""?>>Igbo</option>
<option value="Igorot"<?= (@$info->language=="Igorot" )?" selected":""?>>Igorot</option>
<option value="Iilngo"<?= (@$info->language=="Iilngo" )?" selected":""?>>Iilngo</option>
<option value="Ika"<?= (@$info->language=="Ika" )?" selected":""?>>Ika</option>
<option value="Ilican"<?= (@$info->language=="Ilican" )?" selected":""?>>Ilican</option>
<option value="Ilocano"<?= (@$info->language=="Ilocano" )?" selected":""?>>Ilocano</option>
<option value="Indonesian"<?= (@$info->language=="Indonesian" )?" selected":""?>>Indonesian</option>
<option value="Interp.Not Required"<?= (@$info->language=="Interp.Not Required" )?" selected":""?>>Interp.Not Required</option>
<option value="Ishen"<?= (@$info->language=="Ishen" )?" selected":""?>>Ishen</option>
<option value="Isoko"<?= (@$info->language=="Isoko" )?" selected":""?>>Isoko</option>
<option value="Italian"<?= (@$info->language=="Italian" )?" selected":""?>>Italian</option>
<option value="Itshekiri"<?= (@$info->language=="Itshekiri" )?" selected":""?>>Itshekiri</option>
<option value="Izi"<?= (@$info->language=="Izi" )?" selected":""?>>Izi</option>
<option value="Jadgali,Pakistan"<?= (@$info->language=="Jadgali,Pakistan" )?" selected":""?>>Jadgali,Pakistan</option>
<option value="Jamaican"<?= (@$info->language=="Jamaican" )?" selected":""?>>Jamaican</option>
<option value="Japanese"<?= (@$info->language=="Japanese" )?" selected":""?>>Japanese</option>
<option value="Javanese"<?= (@$info->language=="Javanese" )?" selected":""?>>Javanese</option>
<option value="Jianxi"<?= (@$info->language=="Jianxi" )?" selected":""?>>Jianxi</option>
<option value="Jolay"<?= (@$info->language=="Jolay" )?" selected":""?>>Jolay</option>
<option value="Kabyle"<?= (@$info->language=="Kabyle" )?" selected":""?>>Kabyle</option>

<option value="Kacchi"<?= (@$info->language=="Kacchi" )?" selected":""?>>Kacchi</option>
<option value="Kaiping"<?= (@$info->language=="Kaiping" )?" selected":""?>>Kaiping</option>
<option value="Kakwa"<?= (@$info->language=="Kakwa" )?" selected":""?>>Kakwa</option>
<option value="Kandahari"<?= (@$info->language=="Kandahari" )?" selected":""?>>Kandahari</option>
<option value="Kangri,India"<?= (@$info->language=="Kangri,India" )?" selected":""?>>Kangri,India</option>
<option value="Kangri,Kanjari"<?= (@$info->language=="Kangri,Kanjari" )?" selected":""?>>Kangri,Kanjari</option>
<option value="Kankani"<?= (@$info->language=="Kankani" )?" selected":""?>>Kankani</option>
<option value="Kannada"<?= (@$info->language=="Kannada" )?" selected":""?>>Kannada</option>
<option value="Kaonde,Dari"<?= (@$info->language=="Kaonde,Dari" )?" selected":""?>>Kaonde,Dari</option>
<option value="Kashmiri"<?= (@$info->language=="Kashmiri" )?" selected":""?>>Kashmiri</option>
<option value="Kepelle"<?= (@$info->language=="Kepelle" )?" selected":""?>>Kepelle</option>
<option value="Khmer"<?= (@$info->language=="Khmer" )?" selected":""?>>Khmer</option>
<option value="Kiboma"<?= (@$info->language=="Kiboma" )?" selected":""?>>Kiboma</option>
<option value="Kihavu"<?= (@$info->language=="Kihavu" )?" selected":""?>>Kihavu</option>
<option value="Kikongo"<?= (@$info->language=="Kikongo" )?" selected":""?>>Kikongo</option>
<option value="kikuyu"<?= (@$info->language=="kikuyu" )?" selected":""?>>kikuyu</option>
<option value="Kikuyu,Gikuyu"<?= (@$info->language=="Kikuyu,Gikuyu" )?" selected":""?>>Kikuyu,Gikuyu</option>
<option value="Kinaraya"<?= (@$info->language=="Kinaraya" )?" selected":""?>>Kinaraya</option>
<option value="Kinyarwanda"<?= (@$info->language=="Kinyarwanda" )?" selected":""?>>Kinyarwanda</option>
<option value="Kinyarwanda,Rwanda"<?= (@$info->language=="Kinyarwanda,Rwanda" )?" selected":""?>>Kinyarwanda,Rwanda</option>
<option value="Kirundi"<?= (@$info->language=="Kirundi" )?" selected":""?>>Kirundi</option>
<option value="Kirundi,Rundi"<?= (@$info->language=="Kirundi,Rundi" )?" selected":""?>>Kirundi,Rundi</option>
<option value="Kiswahili"<?= (@$info->language=="Kiswahili" )?" selected":""?>>Kiswahili</option>
<option value="Konkani"<?= (@$info->language=="Konkani" )?" selected":""?>>Konkani</option>
<option value="Korean"<?= (@$info->language=="Korean" )?" selected":""?>>Korean</option>
<option value="Krio"<?= (@$info->language=="Krio" )?" selected":""?>>Krio</option>
<option value="Krobo"<?= (@$info->language=="Krobo" )?" selected":""?>>Krobo</option>
<option value="Kru,Klao"<?= (@$info->language=="Kru,Klao" )?" selected":""?>>Kru,Klao</option>
<option value="Kru,Krumen,Tepo"<?= (@$info->language=="Kru,Krumen,Tepo" )?" selected":""?>>Kru,Krumen,Tepo</option>
<option value="Kurdish"<?= (@$info->language=="Kurdish" )?" selected":""?>>Kurdish</option>
<option value="Kurdish Bandinani,Behdini"<?= (@$info->language=="Kurdish Bandinani,Behdini" )?" selected":""?>>Kurdish Bandinani,Behdini</option>
<option value="Kurdish-Central,Kurdi,Sorani"<?= (@$info->language=="Kurdish-Central,Kurdi,Sorani" )?" selected":""?>>Kurdish-Central,Kurdi,Sorani</option>
<option value="Kurdish-Northern,Kurmanji,"<?= (@$info->language=="Kurdish-Northern,Kurmanji," )?" selected":""?>>Kurdish-Northern,Kurmanji,</option>
<option value="Kwale,Nigeria"<?= (@$info->language=="Kwale,Nigeria" )?" selected":""?>>Kwale,Nigeria</option>
<option value="Kwale,Papua"<?= (@$info->language=="Kwale,Papua" )?" selected":""?>>Kwale,Papua</option>
<option value="Laotian"<?= (@$info->language=="Laotian" )?" selected":""?>>Laotian</option>
<option value="Lateh"<?= (@$info->language=="Lateh" )?" selected":""?>>Lateh</option>
<option value="Latvian"<?= (@$info->language=="Latvian" )?" selected":""?>>Latvian</option>
<option value="Lebanese"<?= (@$info->language=="Lebanese" )?" selected":""?>>Lebanese</option>
<option value="Lengie"<?= (@$info->language=="Lengie" )?" selected":""?>>Lengie</option>
<option value="Limba"<?= (@$info->language=="Limba" )?" selected":""?>>Limba</option>
<option value="Lingala"<?= (@$info->language=="Lingala" )?" selected":""?>>Lingala</option>
<option value="Linyawanda"<?= (@$info->language=="Linyawanda" )?" selected":""?>>Linyawanda</option>
<option value="Lithuanian"<?= (@$info->language=="Lithuanian" )?" selected":""?>>Lithuanian</option>
<option value="Lowma"<?= (@$info->language=="Lowma" )?" selected":""?>>Lowma</option>
<option value="Luba-Kasai"<?= (@$info->language=="Luba-Kasai" )?" selected":""?>>Luba-Kasai</option>
<option value="Luganda"<?= (@$info->language=="Luganda" )?" selected":""?>>Luganda</option>
<option value="Lugisu"<?= (@$info->language=="Lugisu" )?" selected":""?>>Lugisu</option>
<option value="Luo"<?= (@$info->language=="Luo" )?" selected":""?>>Luo</option>
<option value="Lutoro"<?= (@$info->language=="Lutoro" )?" selected":""?>>Lutoro</option>
<option value="Macedonian"<?= (@$info->language=="Macedonian" )?" selected":""?>>Macedonian</option>
<option value="Macena"<?= (@$info->language=="Macena" )?" selected":""?>>Macena</option>
<option value="Maghreb"<?= (@$info->language=="Maghreb" )?" selected":""?>>Maghreb</option>
<option value="Mahou"<?= (@$info->language=="Mahou" )?" selected":""?>>Mahou</option>
<option value="Makonde"<?= (@$info->language=="Makonde" )?" selected":""?>>Makonde</option>
<option value="Makua"<?= (@$info->language=="Makua" )?" selected":""?>>Makua</option>
<option value="Malagasy"<?= (@$info->language=="Malagasy" )?" selected":""?>>Malagasy</option>
<option value="Malay"<?= (@$info->language=="Malay" )?" selected":""?>>Malay</option>
<option value="Malayalam"<?= (@$info->language=="Malayalam" )?" selected":""?>>Malayalam</option>
<option value="Malgache,Malagasy"<?= (@$info->language=="Malgache,Malagasy" )?" selected":""?>>Malgache,Malagasy</option>
<option value="Maligo"<?= (@$info->language=="Maligo" )?" selected":""?>>Maligo</option>
<option value="Malinke,Jula"<?= (@$info->language=="Malinke,Jula" )?" selected":""?>>Malinke,Jula</option>
<option value="Maltese"<?= (@$info->language=="Maltese" )?" selected":""?>>Maltese</option>
<option value="Mandarin"<?= (@$info->language=="Mandarin" )?" selected":""?>>Mandarin</option>
<option value="Mandiga,Mandinga"<?= (@$info->language=="Mandiga,Mandinga" )?" selected":""?>>Mandiga,Mandinga</option>
<option value="Mandingo"<?= (@$info->language=="Mandingo" )?" selected":""?>>Mandingo</option>
<option value="Mandingo,Maninka"<?= (@$info->language=="Mandingo,Maninka" )?" selected":""?>>Mandingo,Maninka</option>
<option value="Mandingo,Manya"<?= (@$info->language=="Mandingo,Manya" )?" selected":""?>>Mandingo,Manya</option>
<option value="Maninka"<?= (@$info->language=="Maninka" )?" selected":""?>>Maninka</option>
<option value="Mano"<?= (@$info->language=="Mano" )?" selected":""?>>Mano</option>
<option value="Marakha"<?= (@$info->language=="Marakha" )?" selected":""?>>Marakha</option>
<option value="Marathi"<?= (@$info->language=="Marathi" )?" selected":""?>>Marathi</option>
<option value="Masaba"<?= (@$info->language=="Masaba" )?" selected":""?>>Masaba</option>
<option value="Mashi"<?= (@$info->language=="Mashi" )?" selected":""?>>Mashi</option>
<option value="Maymay,Somalia"<?= (@$info->language=="Maymay,Somalia" )?" selected":""?>>Maymay,Somalia</option>
<option value="Mende"<?= (@$info->language=="Mende" )?" selected":""?>>Mende</option>
<option value="Meru"<?= (@$info->language=="Meru" )?" selected":""?>>Meru</option>
<option value="Mina"<?= (@$info->language=="Mina" )?" selected":""?>>Mina</option>
<option value="Mina,Gen-Gbe"<?= (@$info->language=="Mina,Gen-Gbe" )?" selected":""?>>Mina,Gen-Gbe</option>
<option value="Mirpuri"<?= (@$info->language=="Mirpuri" )?" selected":""?>>Mirpuri</option>
<option value="Mizo"<?= (@$info->language=="Mizo" )?" selected":""?>>Mizo</option>
<option value="Moldovan"<?= (@$info->language=="Moldovan" )?" selected":""?>>Moldovan</option>
<option value="Moldovan,Romanian"<?= (@$info->language=="Moldovan,Romanian" )?" selected":""?>>Moldovan,Romanian</option>
<option value="Mongolian"<?= (@$info->language=="Mongolian" )?" selected":""?>>Mongolian</option>
<option value="Mongolian,Halh"<?= (@$info->language=="Mongolian,Halh" )?" selected":""?>>Mongolian,Halh</option>
<option value="Moor,Bimoba"<?= (@$info->language=="Moor,Bimoba" )?" selected":""?>>Moor,Bimoba</option>
<option value="Moore"<?= (@$info->language=="Moore" )?" selected":""?>>Moore</option>
<option value="Moore,Burkina"<?= (@$info->language=="Moore,Burkina" )?" selected":""?>>Moore,Burkina</option>
<option value="Moore,Waropen"<?= (@$info->language=="Moore,Waropen" )?" selected":""?>>Moore,Waropen</option>
<option value="Morisyen"<?= (@$info->language=="Morisyen" )?" selected":""?>>Morisyen</option>
<option value="Naebele"<?= (@$info->language=="Naebele" )?" selected":""?>>Naebele</option>
<option value="Nahuatl,Classical"<?= (@$info->language=="Nahuatl,Classical" )?" selected":""?>>Nahuatl,Classical</option>
<option value="Navajo"<?= (@$info->language=="Navajo" )?" selected":""?>>Navajo</option>
<option value="Ndebele,South Africa"<?= (@$info->language=="Ndebele,South Africa" )?" selected":""?>>Ndebele,South Africa</option>
<option value="Ndebele,Zimbabwe"<?= (@$info->language=="Ndebele,Zimbabwe" )?" selected":""?>>Ndebele,Zimbabwe</option>
<option value="Ndjamena"<?= (@$info->language=="Ndjamena" )?" selected":""?>>Ndjamena</option>
<option value="Nepali"<?= (@$info->language=="Nepali" )?" selected":""?>>Nepali</option>
<option value="Nigerian,Pidgin"<?= (@$info->language=="Nigerian,Pidgin" )?" selected":""?>>Nigerian,Pidgin</option>
<option value="Nigerien"<?= (@$info->language=="Nigerien" )?" selected":""?>>Nigerien</option>
<option value="Nobiin"<?= (@$info->language=="Nobiin" )?" selected":""?>>Nobiin</option>
<option value="Norwegian"<?= (@$info->language=="Norwegian" )?" selected":""?>>Norwegian</option>
<option value="Nuer"<?= (@$info->language=="Nuer" )?" selected":""?>>Nuer</option>
<option value="Nyanja"<?= (@$info->language=="Nyanja" )?" selected":""?>>Nyanja</option>
<option value="Nzema"<?= (@$info->language=="Nzema" )?" selected":""?>>Nzema</option>
<option value="Okpe"<?= (@$info->language=="Okpe" )?" selected":""?>>Okpe</option>
<option value="Ora"<?= (@$info->language=="Ora" )?" selected":""?>>Ora</option>
<option value="Oriya"<?= (@$info->language=="Oriya" )?" selected":""?>>Oriya</option>
<option value="Oromo"<?= (@$info->language=="Oromo" )?" selected":""?>>Oromo</option>
<option value="Oromo,Borana-Arsi-Gujii"<?= (@$info->language=="Oromo,Borana-Arsi-Gujii" )?" selected":""?>>Oromo,Borana-Arsi-Gujii</option>
<option value="Oromo,Qotu"<?= (@$info->language=="Oromo,Qotu" )?" selected":""?>>Oromo,Qotu</option>
<option value="Oromo,Qotu,West Central"<?= (@$info->language=="Oromo,Qotu,West Central" )?" selected":""?>>Oromo,Qotu,West Central</option>
<option value="Osal"<?= (@$info->language=="Osal" )?" selected":""?>>Osal</option>
<option value="Other"<?= (@$info->language=="Other" )?" selected":""?>>Other</option>
<option value="Ouighour"<?= (@$info->language=="Ouighour" )?" selected":""?>>Ouighour</option>
<option value="Pahari"<?= (@$info->language=="Pahari" )?" selected":""?>>Pahari</option>
<option value="Pampango"<?= (@$info->language=="Pampango" )?" selected":""?>>Pampango</option>
<option value="Pangasinan"<?= (@$info->language=="Pangasinan" )?" selected":""?>>Pangasinan</option>
<option value="Pashto"<?= (@$info->language=="Pashto" )?" selected":""?>>Pashto</option>
<option value="Pashto,Central"<?= (@$info->language=="Pashto,Central" )?" selected":""?>>Pashto,Central</option>
<option value="Pashto,Southern"<?= (@$info->language=="Pashto,Southern" )?" selected":""?>>Pashto,Southern</option>
<option value="Persian"<?= (@$info->language=="Persian" )?" selected":""?>>Persian</option>
<option value="Peul"<?= (@$info->language=="Peul" )?" selected":""?>>Peul</option>
<option value="Peul,Benin-Togo"<?= (@$info->language=="Peul,Benin-Togo" )?" selected":""?>>Peul,Benin-Togo</option>
<option value="Peul,Bororro"<?= (@$info->language=="Peul,Bororro" )?" selected":""?>>Peul,Bororro</option>
<option value="Peul,Fulfulde,Adamawa"<?= (@$info->language=="Peul,Fulfulde,Adamawa" )?" selected":""?>>Peul,Fulfulde,Adamawa</option>
<option value="Peul,Fulfulde,Jelgoore"<?= (@$info->language=="Peul,Fulfulde,Jelgoore" )?" selected":""?>>Peul,Fulfulde,Jelgoore</option>
<option value="Phuockien"<?= (@$info->language=="Phuockien" )?" selected":""?>>Phuockien</option>
<option value="Pidgin"<?= (@$info->language=="Pidgin" )?" selected":""?>>Pidgin</option>
<option value="Pidgin English"<?= (@$info->language=="Pidgin English" )?" selected":""?>>Pidgin English</option>
<option value="Piugon"<?= (@$info->language=="Piugon" )?" selected":""?>>Piugon</option>
<option value="Polish"<?= (@$info->language=="Polish" )?" selected":""?>>Polish</option>
<option value="Portuguese"<?= (@$info->language=="Portuguese" )?" selected":""?>>Portuguese</option>
<option value="Portuguese,angola"<?= (@$info->language=="Portuguese,angola" )?" selected":""?>>Portuguese,angola</option>
<option value="Portuguese,Brazil"<?= (@$info->language=="Portuguese,Brazil" )?" selected":""?>>Portuguese,Brazil</option>
<option value="Portuguese,Guinea-Bissau"<?= (@$info->language=="Portuguese,Guinea-Bissau" )?" selected":""?>>Portuguese,Guinea-Bissau</option>
<option value="Poular"<?= (@$info->language=="Poular" )?" selected":""?>>Poular</option>
<option value="Punjabi"<?= (@$info->language=="Punjabi" )?" selected":""?>>Punjabi</option>
<option value="Pushta"<?= (@$info->language=="Pushta" )?" selected":""?>>Pushta</option>
<option value="Pushta,Pushto"<?= (@$info->language=="Pushta,Pushto" )?" selected":""?>>Pushta,Pushto</option>
<option value="Pu-Xian"<?= (@$info->language=="Pu-Xian" )?" selected":""?>>Pu-Xian</option>
<option value="Quechua"<?= (@$info->language=="Quechua" )?" selected":""?>>Quechua</option>
<option value="Rindre"<?= (@$info->language=="Rindre" )?" selected":""?>>Rindre</option>
<option value="Romani,Campathian"<?= (@$info->language=="Romani,Campathian" )?" selected":""?>>Romani,Campathian</option>
<option value="Romani,Carpathian"<?= (@$info->language=="Romani,Carpathian" )?" selected":""?>>Romani,Carpathian</option>
<option value="Romani,Cigaly"<?= (@$info->language=="Romani,Cigaly" )?" selected":""?>>Romani,Cigaly</option>
<option value="Romani,Cigany"<?= (@$info->language=="Romani,Cigany" )?" selected":""?>>Romani,Cigany</option>
<option value="Romani,Vlach"<?= (@$info->language=="Romani,Vlach" )?" selected":""?>>Romani,Vlach</option>
<option value="romani,Vlach,Gypsy"<?= (@$info->language=="romani,Vlach,Gypsy" )?" selected":""?>>romani,Vlach,Gypsy</option>
<option value="Romanian"<?= (@$info->language=="Romanian" )?" selected":""?>>Romanian</option>
<option value="Ronga"<?= (@$info->language=="Ronga" )?" selected":""?>>Ronga</option>
<option value="Rukiga"<?= (@$info->language=="Rukiga" )?" selected":""?>>Rukiga</option>
<option value="Runyankole"<?= (@$info->language=="Runyankole" )?" selected":""?>>Runyankole</option>
<option value="Russian"<?= (@$info->language=="Russian" )?" selected":""?>>Russian</option>
<option value="Samoan"<?= (@$info->language=="Samoan" )?" selected":""?>>Samoan</option>
<option value="Samoli"<?= (@$info->language=="Samoli" )?" selected":""?>>Samoli</option>
<option value="Sango"<?= (@$info->language=="Sango" )?" selected":""?>>Sango</option>
<option value="Santi"<?= (@$info->language=="Santi" )?" selected":""?>>Santi</option>
<option value="Sarahuley"<?= (@$info->language=="Sarahuley" )?" selected":""?>>Sarahuley</option>
<option value="Saraiki"<?= (@$info->language=="Saraiki" )?" selected":""?>>Saraiki</option>
<option value="Scoula"<?= (@$info->language=="Scoula" )?" selected":""?>>Scoula</option>
<option value="Sechuan"<?= (@$info->language=="Sechuan" )?" selected":""?>>Sechuan</option>
<option value="Sefwi"<?= (@$info->language=="Sefwi" )?" selected":""?>>Sefwi</option>
<option value="Serbian"<?= (@$info->language=="Serbian" )?" selected":""?>>Serbian</option>
<option value="Serbo-Croatian"<?= (@$info->language=="Serbo-Croatian" )?" selected":""?>>Serbo-Croatian</option>
<option value="Sesotho"<?= (@$info->language=="Sesotho" )?" selected":""?>>Sesotho</option>
<option value="Seswi"<?= (@$info->language=="Seswi" )?" selected":""?>>Seswi</option>
<option value="Seychelles"<?= (@$info->language=="Seychelles" )?" selected":""?>>Seychelles</option>
<option value="Seychelles,Creole Fre.,Seselwa"<?= (@$info->language=="Seychelles,Creole Fre.,Seselwa" )?" selected":""?>>Seychelles,Creole Fre.,Seselwa</option>
<option value="Shai"<?= (@$info->language=="Shai" )?" selected":""?>>Shai</option>
<option value="Shan"<?= (@$info->language=="Shan" )?" selected":""?>>Shan</option>
<option value="Shan Dong"<?= (@$info->language=="Shan Dong" )?" selected":""?>>Shan Dong</option>
<option value="Shan Tao"<?= (@$info->language=="Shan Tao" )?" selected":""?>>Shan Tao</option>
<option value="Shanghainese"<?= (@$info->language=="Shanghainese" )?" selected":""?>>Shanghainese</option>
<option value="Shansai"<?= (@$info->language=="Shansai" )?" selected":""?>>Shansai</option>
<option value="Shanxi"<?= (@$info->language=="Shanxi" )?" selected":""?>>Shanxi</option>
<option value="Shona"<?= (@$info->language=="Shona" )?" selected":""?>>Shona</option>
<option value="Sichuan/Szechuan"<?= (@$info->language=="Sichuan/Szechuan" )?" selected":""?>>Sichuan/Szechuan</option>
<option value="Sign Language French"<?= (@$info->language=="Sign Language French" )?" selected":""?>>Sign Language French</option>
<option value="Sindhi"<?= (@$info->language=="Sindhi" )?" selected":""?>>Sindhi</option>
<option value="Sinhala"<?= (@$info->language=="Sinhala" )?" selected":""?>>Sinhala</option>
<option value="Siyap"<?= (@$info->language=="Siyap" )?" selected":""?>>Siyap</option>
<option value="Slovak"<?= (@$info->language=="Slovak" )?" selected":""?>>Slovak</option>
<option value="Slovenian"<?= (@$info->language=="Slovenian" )?" selected":""?>>Slovenian</option>
<option value="Somali"<?= (@$info->language=="Somali" )?" selected":""?>>Somali</option>
<option value="Somba"<?= (@$info->language=="Somba" )?" selected":""?>>Somba</option>
<option value="Soninke"<?= (@$info->language=="Soninke" )?" selected":""?>>Soninke</option>
<option value="Soninke,Marakha"<?= (@$info->language=="Soninke,Marakha" )?" selected":""?>>Soninke,Marakha</option>
<option value="Sotho"<?= (@$info->language=="Sotho" )?" selected":""?>>Sotho</option>
<option value="Sotho,Northern"<?= (@$info->language=="Sotho,Northern" )?" selected":""?>>Sotho,Northern</option>
<option value="Sotho,Southern"<?= (@$info->language=="Sotho,Southern" )?" selected":""?>>Sotho,Southern</option>
<option value="Spanish"<?= (@$info->language=="Spanish" )?" selected":""?>>Spanish</option>
<option value="Suesue"<?= (@$info->language=="Suesue" )?" selected":""?>>Suesue</option>
<option value="Sukuma"<?= (@$info->language=="Sukuma" )?" selected":""?>>Sukuma</option>
<option value="Susu"<?= (@$info->language=="Susu" )?" selected":""?>>Susu</option>
<option value="Swahili"<?= (@$info->language=="Swahili" )?" selected":""?>>Swahili</option>
<option value="Swahili/Congo"<?= (@$info->language=="Swahili/Congo" )?" selected":""?>>Swahili/Congo</option>
<option value="Swahili/Kenya"<?= (@$info->language=="Swahili/Kenya" )?" selected":""?>>Swahili/Kenya</option>
<option value="Swati"<?= (@$info->language=="Swati" )?" selected":""?>>Swati</option>
<option value="Swatow"<?= (@$info->language=="Swatow" )?" selected":""?>>Swatow</option>
<option value="Swedish"<?= (@$info->language=="Swedish" )?" selected":""?>>Swedish</option>
<option value="Tagalog"<?= (@$info->language=="Tagalog" )?" selected":""?>>Tagalog</option>
<option value="Taichew"<?= (@$info->language=="Taichew" )?" selected":""?>>Taichew</option>
<option value="Taishanese"<?= (@$info->language=="Taishanese" )?" selected":""?>>Taishanese</option>
<option value="Taiwanese"<?= (@$info->language=="Taiwanese" )?" selected":""?>>Taiwanese</option>
<option value="Tajiki"<?= (@$info->language=="Tajiki" )?" selected":""?>>Tajiki</option>
<option value="Tamil"<?= (@$info->language=="Tamil" )?" selected":""?>>Tamil</option>
<option value="Tari"<?= (@$info->language=="Tari" )?" selected":""?>>Tari</option>
<option value="Tatar"<?= (@$info->language=="Tatar" )?" selected":""?>>Tatar</option>
<option value="Tatshanese"<?= (@$info->language=="Tatshanese" )?" selected":""?>>Tatshanese</option>
<option value="Telugu"<?= (@$info->language=="Telugu" )?" selected":""?>>Telugu</option>
<option value="Themne"<?= (@$info->language=="Themne" )?" selected":""?>>Themne</option>
<option value="Teochew"<?= (@$info->language=="Teochew" )?" selected":""?>>Teochew</option>
<option value="Thai"<?= (@$info->language=="Thai" )?" selected":""?>>Thai</option>
<option value="Tibetan"<?= (@$info->language=="Tibetan" )?" selected":""?>>Tibetan</option>
<option value="Tichiew"<?= (@$info->language=="Tichiew" )?" selected":""?>>Tichiew</option>
<option value="Tigre"<?= (@$info->language=="Tigre" )?" selected":""?>>Tigre</option>
<option value="Tigrea,Tigre"<?= (@$info->language=="Tigrea,Tigre" )?" selected":""?>>Tigrea,Tigre</option>
<option value="Tigrinya"<?= (@$info->language=="Tigrinya" )?" selected":""?>>Tigrinya</option>
<option value="Timini"<?= (@$info->language=="Timini" )?" selected":""?>>Timini</option>
<option value="Tiv"<?= (@$info->language=="Tiv" )?" selected":""?>>Tiv</option>
<option value="Tooro"<?= (@$info->language=="Tooro" )?" selected":""?>>Tooro</option>
<option value="Tshiluba"<?= (@$info->language=="Tshiluba" )?" selected":""?>>Tshiluba</option>
<option value="Turkish"<?= (@$info->language=="Turkish" )?" selected":""?>>Turkish</option>
<option value="Turkmen"<?= (@$info->language=="Turkmen" )?" selected":""?>>Turkmen</option>
<option value="Turkoman"<?= (@$info->language=="Turkoman" )?" selected":""?>>Turkoman</option>
<option value="Twi"<?= (@$info->language=="Twi" )?" selected":""?>>Twi</option>
<option value="Uhrobo"<?= (@$info->language=="Uhrobo" )?" selected":""?>>Uhrobo</option>
<option value="Uigrigma"<?= (@$info->language=="Uigrigma" )?" selected":""?>>Uigrigma</option>
<option value="Ukrainian"<?= (@$info->language=="Ukrainian" )?" selected":""?>>Ukrainian</option>
<option value="Ukwuani,Ukwuani-Aboh"<?= (@$info->language=="Ukwuani,Ukwuani-Aboh" )?" selected":""?>>Ukwuani,Ukwuani-Aboh</option>
<option value="Umbundu"<?= (@$info->language=="Umbundu" )?" selected":""?>>Umbundu</option>
<option value="Unama"<?= (@$info->language=="Unama" )?" selected":""?>>Unama</option>
<option value="Urdu"<?= (@$info->language=="Urdu" )?" selected":""?>>Urdu</option>
<option value="Uzbek"<?= (@$info->language=="Uzbek" )?" selected":""?>>Uzbek</option>
<option value="Vietnamese"<?= (@$info->language=="Vietnamese" )?" selected":""?>>Vietnamese</option>
<option value="Visayan"<?= (@$info->language=="Visayan" )?" selected":""?>>Visayan</option>
<option value="Waray-Waray"<?= (@$info->language=="Waray-Waray" )?" selected":""?>>Waray-Waray</option>
<option value="Welsh"<?= (@$info->language=="Welsh" )?" selected":""?>>Welsh</option>
<option value="Wenzhou"<?= (@$info->language=="Wenzhou" )?" selected":""?>>Wenzhou</option>
<option value="Wolof"<?= (@$info->language=="Wolof" )?" selected":""?>>Wolof</option>
<option value="Xangawe"<?= (@$info->language=="Xangawe" )?" selected":""?>>Xangawe</option>
<option value="Xhosa"<?= (@$info->language=="Xhosa" )?" selected":""?>>Xhosa</option>
<option value="Xin Hui"<?= (@$info->language=="Xin Hui" )?" selected":""?>>Xin Hui</option>
<option value="Xitswa"<?= (@$info->language=="Xitswa" )?" selected":""?>>Xitswa</option>
<option value="xitswa,Twsa"<?= (@$info->language=="xitswa,Twsa" )?" selected":""?>>xitswa,Twsa</option>
<option value="Yacooba"<?= (@$info->language=="Yacooba" )?" selected":""?>>Yacooba</option>
<option value="Yao"<?= (@$info->language=="Yao" )?" selected":""?>>Yao</option>
<option value="Yemenite"<?= (@$info->language=="Yemenite" )?" selected":""?>>Yemenite</option>
<option value="Yiboe"<?= (@$info->language=="Yiboe" )?" selected":""?>>Yiboe</option>
<option value="Yiddish"<?= (@$info->language=="Yiddish" )?" selected":""?>>Yiddish</option>
<option value="Yinping"<?= (@$info->language=="Yinping" )?" selected":""?>>Yinping</option>
<option value="Yoruba"<?= (@$info->language=="Yoruba" )?" selected":""?>>Yoruba</option>
<option value="Yue Yang"<?= (@$info->language=="Yue Yang" )?" selected":""?>>Yue Yang</option>
<option value="Yugoslavian"<?= (@$info->language=="Yugoslavian" )?" selected":""?>>Yugoslavian</option>
<option value="Zaza"<?= (@$info->language=="Zaza" )?" selected":""?>>Zaza</option>
<option value="Zaza,Kirmanjki"<?= (@$info->language=="Zaza,Kirmanjki" )?" selected":""?>>Zaza,Kirmanjki</option>
<option value="Zshiluba"<?= (@$info->language=="Zshiluba" )?" selected":""?>>Zshiluba</option>
<option value="Zuganda"<?= (@$info->language=="Zuganda" )?" selected":""?>>Zuganda</option>
<option value="Zulu"<?= (@$info->language=="Zulu" )?" selected":""?>>Zulu</option>
              </select>               
              &nbsp;&nbsp;&nbsp; b) If your native language is not English or French, which language do you use most frequently?              
              <select name="freq_lauguage">
                <option></option>
                <option value="English"<?= (@$info->freq_lauguage=="English" )?" selected":""?>>English</option>
                <option value="French"<?= (@$info->freq_lauguage=="French" )?" selected":""?>>French</option>
                <option value="Neither"<?= (@$info->freq_lauguage=="Neither" )?" selected":""?>>Neither</option>
                </select></td>
        </tr>

        <tr class="odd">
            <td colspan="5"><strong>PASSPORT</strong></td>   
        </tr>
        <tr class="even">
            <td>1 Passport number</td>
            <td><input type="text" name="travel_document_num" value="<?= @$info->travel_document_num?>" /></td>
            <td>&nbsp;</td>
            <td>2 Country of issue</td>
            <td>
<select name="travel_document_country">
<option></option>
<option value="Afghanistan"<?= (@$info->travel_document_country=="Afghanistan")?" selected":""?>>Afghanistan</option>
<option value="Albania"<?= (@$info->travel_document_country=="Albania")?" selected":""?>>Albania</option>
<option value="Algeria"<?= (@$info->travel_document_country=="Algeria")?" selected":""?>>Algeria</option>
<option value="Andorra"<?= (@$info->travel_document_country=="Andorra")?" selected":""?>>Andorra</option>
<option value="Angola"<?= (@$info->travel_document_country=="Angola")?" selected":""?>>Angola</option>
<option value="Anguilla"<?= (@$info->travel_document_country=="Anguilla")?" selected":""?>>Anguilla</option>
<option value="Antigua And Barbuda"<?= (@$info->travel_document_country=="Antigua And Barbuda")?" selected":""?>>Antigua And Barbuda</option>
<option value="Argentina"<?= (@$info->travel_document_country=="Argentina")?" selected":""?>>Argentina</option>
<option value="Armenia"<?= (@$info->travel_document_country=="Armenia")?" selected":""?>>Armenia</option>
<option value="Aruba"<?= (@$info->travel_document_country=="Aruba")?" selected":""?>>Aruba</option>
<option value="Australia"<?= (@$info->travel_document_country=="Australia")?" selected":""?>>Australia</option>
<option value="Austria"<?= (@$info->travel_document_country=="Austria")?" selected":""?>>Austria</option>
<option value="Azerbaijan"<?= (@$info->travel_document_country=="Azerbaijan")?" selected":""?>>Azerbaijan</option>
<option value="Azores"<?= (@$info->travel_document_country=="Azores")?" selected":""?>>Azores</option>
<option value="Bahama Islands, The"<?= (@$info->travel_document_country=="Bahama Islands, The")?" selected":""?>>Bahama Islands, The</option>
<option value="Bahrain"<?= (@$info->travel_document_country=="Bahrain")?" selected":""?>>Bahrain</option>
<option value="Bangladesh"<?= (@$info->travel_document_country=="Bangladesh")?" selected":""?>>Bangladesh</option>
<option value="Barbados"<?= (@$info->travel_document_country=="Barbados")?" selected":""?>>Barbados</option>
<option value="Belarus"<?= (@$info->travel_document_country=="Belarus")?" selected":""?>>Belarus</option>
<option value="Belgium"<?= (@$info->travel_document_country=="Belgium")?" selected":""?>>Belgium</option>
<option value="Belize"<?= (@$info->travel_document_country=="Belize")?" selected":""?>>Belize</option>
<option value="Benin, Peoples Republic Of"<?= (@$info->travel_document_country=="Benin, Peoples Republic Of")?" selected":""?>>Benin, Peoples Republic Of</option>
<option value="Bermuda"<?= (@$info->travel_document_country=="Bermuda")?" selected":""?>>Bermuda</option>
<option value="Bhutan"<?= (@$info->travel_document_country=="Bhutan")?" selected":""?>>Bhutan</option>
<option value="Bolivia"<?= (@$info->travel_document_country=="Bolivia")?" selected":""?>>Bolivia</option>
<option value="Bosnia-Hercepovina"<?= (@$info->travel_document_country=="Bosnia-Hercepovina")?" selected":""?>>Bosnia-Hercepovina</option>
<option value="Botswana, Republic Of"<?= (@$info->travel_document_country=="Botswana, Republic Of")?" selected":""?>>Botswana, Republic Of</option>
<option value="Brazil"<?= (@$info->travel_document_country=="Brazil")?" selected":""?>>Brazil</option>
<option value="Brunei"<?= (@$info->travel_document_country=="Brunei")?" selected":""?>>Brunei</option>
<option value="Bulgaria"<?= (@$info->travel_document_country=="Bulgaria")?" selected":""?>>Bulgaria</option>
<option value="Burkina Faso"<?= (@$info->travel_document_country=="Burkina Faso")?" selected":""?>>Burkina Faso</option>
<option value="Burundi"<?= (@$info->travel_document_country=="Burundi")?" selected":""?>>Burundi</option>
<option value="Cambodia"<?= (@$info->travel_document_country=="Cambodia")?" selected":""?>>Cambodia</option>
<option value="Cameroon, Federal Republic Of"<?= (@$info->travel_document_country=="Cameroon, Federal Republic Of")?" selected":""?>>Cameroon, Federal Republic Of</option>
<option value="Canada"<?= (@$info->travel_document_country=="Canada")?" selected":""?>>Canada</option>
<option value="Canary Islands"<?= (@$info->travel_document_country=="Canary Islands")?" selected":""?>>Canary Islands</option>
<option value="Cape Verde Islands"<?= (@$info->travel_document_country=="Cape Verde Islands")?" selected":""?>>Cape Verde Islands</option>
<option value="Cayman Islands"<?= (@$info->travel_document_country=="Cayman Islands")?" selected":""?>>Cayman Islands</option>
<option value="Central Africa Republic"<?= (@$info->travel_document_country=="Central Africa Republic")?" selected":""?>>Central Africa Republic</option>
<option value="Chad, Republic Of"<?= (@$info->travel_document_country=="Chad, Republic Of")?" selected":""?>>Chad, Republic Of</option>
<option value="Channel Islands"<?= (@$info->travel_document_country=="Channel Islands")?" selected":""?>>Channel Islands</option>
<option value="Chile"<?= (@$info->travel_document_country=="Chile")?" selected":""?>>Chile</option>
<option value="China, People's Republic Of"<?= (@$info->travel_document_country=="China, People's Republic Of")?" selected":""?>>China, People's Republic Of</option>
<option value="Colombia"<?= (@$info->travel_document_country=="Colombia")?" selected":""?>>Colombia</option>
<option value="Comoros"<?= (@$info->travel_document_country=="Comoros")?" selected":""?>>Comoros</option>
<option value="Congo, People's Republic Of"<?= (@$info->travel_document_country=="Congo, People's Republic Of")?" selected":""?>>Congo, People's Republic Of</option>
<option value="Congo, Democratic Republic Of"<?= (@$info->travel_document_country=="Congo, Democratic Republic Of")?" selected":""?>>Congo, Democratic Republic Of</option>
<option value="Cook Islands"<?= (@$info->travel_document_country=="Cook Islands")?" selected":""?>>Cook Islands</option>
<option value="Costa Rica"<?= (@$info->travel_document_country=="Costa Rica")?" selected":""?>>Costa Rica</option>
<option value="Croatia"<?= (@$info->travel_document_country=="Croatia")?" selected":""?>>Croatia</option>
<option value="Cuba"<?= (@$info->travel_document_country=="Cuba")?" selected":""?>>Cuba</option>
<option value="Cyprus"<?= (@$info->travel_document_country=="Cyprus")?" selected":""?>>Cyprus</option>
<option value="Czech Republic"<?= (@$info->travel_document_country=="Czech Republic")?" selected":""?>>Czech Republic</option>
<option value="Czechoslovakia"<?= (@$info->travel_document_country=="Czechoslovakia")?" selected":""?>>Czechoslovakia</option>
<option value="Denmark"<?= (@$info->travel_document_country=="Denmark")?" selected":""?>>Denmark</option>
<option value="Djibouti, Republic Of"<?= (@$info->travel_document_country=="Djibouti, Republic Of")?" selected":""?>>Djibouti, Republic Of</option>
<option value="Dominica"<?= (@$info->travel_document_country=="Dominica")?" selected":""?>>Dominica</option>
<option value="Dominican Republic"<?= (@$info->travel_document_country=="Dominican Republic")?" selected":""?>>Dominican Republic</option>
<option value="East Timor"<?= (@$info->travel_document_country=="East Timor")?" selected":""?>>East Timor</option>
<option value="Ecuador"<?= (@$info->travel_document_country=="Ecuador")?" selected":""?>>Ecuador</option>
<option value="Egypt"<?= (@$info->travel_document_country=="Egypt")?" selected":""?>>Egypt</option>
<option value="El Salvador"<?= (@$info->travel_document_country=="El Salvador")?" selected":""?>>El Salvador</option>
<option value="England"<?= (@$info->travel_document_country=="England")?" selected":""?>>England</option>
<option value="Eritrea"<?= (@$info->travel_document_country=="Eritrea")?" selected":""?>>Eritrea</option>
<option value="Estonia"<?= (@$info->travel_document_country=="Estonia")?" selected":""?>>Estonia</option>
<option value="Ethiopia"<?= (@$info->travel_document_country=="Ethiopia")?" selected":""?>>Ethiopia</option>
<option value="Falkland Islands"<?= (@$info->travel_document_country=="Falkland Islands")?" selected":""?>>Falkland Islands</option>
<option value="Federated States of Micronesia"<?= (@$info->travel_document_country=="Federated States of Micronesia")?" selected":""?>>Federated States of Micronesia</option>
<option value="Fiji"<?= (@$info->travel_document_country=="Fiji")?" selected":""?>>Fiji</option>
<option value="Finland"<?= (@$info->travel_document_country=="Finland")?" selected":""?>>Finland</option>
<option value="France"<?= (@$info->travel_document_country=="France")?" selected":""?>>France</option>
<option value="French Guiana"<?= (@$info->travel_document_country=="French Guiana")?" selected":""?>>French Guiana</option>
<option value="French Polynesia"<?= (@$info->travel_document_country=="French Polynesia")?" selected":""?>>French Polynesia</option>
<option value="Fyr Macedonia"<?= (@$info->travel_document_country=="Fyr Macedonia")?" selected":""?>>Fyr Macedonia</option>
<option value="Gabon Republic"<?= (@$info->travel_document_country=="Gabon Republic")?" selected":""?>>Gabon Republic</option>
<option value="Gambia"<?= (@$info->travel_document_country=="Gambia")?" selected":""?>>Gambia</option>
<option value="Georgia"<?= (@$info->travel_document_country=="Georgia")?" selected":""?>>Georgia</option>
<option value="Germany, Federal Rebpublic Of"<?= (@$info->travel_document_country=="Germany, Federal Rebpublic Of")?" selected":""?>>Germany, Federal Rebpublic Of</option>
<option value="Ghana"<?= (@$info->travel_document_country=="Ghana")?" selected":""?>>Ghana</option>
<option value="Gibraltar"<?= (@$info->travel_document_country=="Gibraltar")?" selected":""?>>Gibraltar</option>
<option value="Greece"<?= (@$info->travel_document_country=="Greece")?" selected":""?>>Greece</option>
<option value="Greenland"<?= (@$info->travel_document_country=="Greenland")?" selected":""?>>Greenland</option>
<option value="Grenada"<?= (@$info->travel_document_country=="Grenada")?" selected":""?>>Grenada</option>
<option value="Guadeloupe"<?= (@$info->travel_document_country=="Guadeloupe")?" selected":""?>>Guadeloupe</option>
<option value="Guam"<?= (@$info->travel_document_country=="Guam")?" selected":""?>>Guam</option>
<option value="Guatemala"<?= (@$info->travel_document_country=="Guatemala")?" selected":""?>>Guatemala</option>
<option value="Guinea, Equatorial"<?= (@$info->travel_document_country=="Guinea, Equatorial")?" selected":""?>>Guinea, Equatorial</option>
<option value="Guinea, Republic Of"<?= (@$info->travel_document_country=="Guinea, Republic Of")?" selected":""?>>Guinea, Republic Of</option>
<option value="Guinea-Bissau"<?= (@$info->travel_document_country=="Guinea-Bissau")?" selected":""?>>Guinea-Bissau</option>
<option value="Guyana"<?= (@$info->travel_document_country=="Guyana")?" selected":""?>>Guyana</option>
<option value="Haiti"<?= (@$info->travel_document_country=="Haiti")?" selected":""?>>Haiti</option>
<option value="Holy See"<?= (@$info->travel_document_country=="Holy See")?" selected":""?>>Holy See</option>
<option value="Honduras"<?= (@$info->travel_document_country=="Honduras")?" selected":""?>>Honduras</option>
<option value="Hong Kong"<?= (@$info->travel_document_country=="Hong Kong")?" selected":""?>>Hong Kong</option>
<option value="Hong Kong Sar"<?= (@$info->travel_document_country=="Hong Kong Sar")?" selected":""?>>Hong Kong Sar</option>
<option value="Hungary"<?= (@$info->travel_document_country=="Hungary")?" selected":""?>>Hungary</option>
<option value="Iceland"<?= (@$info->travel_document_country=="Iceland")?" selected":""?>>Iceland</option>
<option value="India"<?= (@$info->travel_document_country=="India")?" selected":""?>>India</option>
<option value="Indonesia, Republic Of"<?= (@$info->travel_document_country=="Indonesia, Republic Of")?" selected":""?>>Indonesia, Republic Of</option>
<option value="Iran"<?= (@$info->travel_document_country=="Iran")?" selected":""?>>Iran</option>
<option value="Iraq"<?= (@$info->travel_document_country=="Iraq")?" selected":""?>>Iraq</option>
<option value="Ireland, Republic Of"<?= (@$info->travel_document_country=="Ireland, Republic Of")?" selected":""?>>Ireland, Republic Of</option>
<option value="Israel"<?= (@$info->travel_document_country=="Israel")?" selected":""?>>Israel</option>
<option value="Italy"<?= (@$info->travel_document_country=="Italy")?" selected":""?>>Italy</option>
<option value="Ivory Coast, Republic"<?= (@$info->travel_document_country=="Ivory Coast, Republic")?" selected":""?>>Ivory Coast, Republic</option>
<option value="Jamaica"<?= (@$info->travel_document_country=="Jamaica")?" selected":""?>>Jamaica</option>
<option value="Japan"<?= (@$info->travel_document_country=="Japan")?" selected":""?>>Japan</option>
<option value="Jordan"<?= (@$info->travel_document_country=="Jordan")?" selected":""?>>Jordan</option>
<option value="Kazakhstan"<?= (@$info->travel_document_country=="Kazakhstan")?" selected":""?>>Kazakhstan</option>
<option value="Kenya"<?= (@$info->travel_document_country=="Kenya")?" selected":""?>>Kenya</option>
<option value="Kiribati"<?= (@$info->travel_document_country=="Kiribati")?" selected":""?>>Kiribati</option>
<option value="Korea (North)"<?= (@$info->travel_document_country=="Korea (North)")?" selected":""?>>Korea (North)</option>
<option value="Korea, Republic Of"<?= (@$info->travel_document_country=="Korea, Republic Of")?" selected":""?>>Korea, Republic Of</option>
<option value="Kuwait"<?= (@$info->travel_document_country=="Kuwait")?" selected":""?>>Kuwait</option>
<option value="Kyrgyzstan"<?= (@$info->travel_document_country=="Kyrgyzstan")?" selected":""?>>Kyrgyzstan</option>
<option value="Laos"<?= (@$info->travel_document_country=="Laos")?" selected":""?>>Laos</option>
<option value="Latvia"<?= (@$info->travel_document_country=="Latvia")?" selected":""?>>Latvia</option>
<option value="Lebanon"<?= (@$info->travel_document_country=="Lebanon")?" selected":""?>>Lebanon</option>
<option value="Lesotho"<?= (@$info->travel_document_country=="Lesotho")?" selected":""?>>Lesotho</option>
<option value="Liberia"<?= (@$info->travel_document_country=="Liberia")?" selected":""?>>Liberia</option>
<option value="Libya"<?= (@$info->travel_document_country=="Libya")?" selected":""?>>Libya</option>
<option value="Liechtenstein"<?= (@$info->travel_document_country=="Liechtenstein")?" selected":""?>>Liechtenstein</option>
<option value="Lithuania"<?= (@$info->travel_document_country=="Lithuania")?" selected":""?>>Lithuania</option>
<option value="Luxembourg"<?= (@$info->travel_document_country=="Luxembourg")?" selected":""?>>Luxembourg</option>
<option value="Macao"<?= (@$info->travel_document_country=="Macao")?" selected":""?>>Macao</option>
<option value="Macau SAR"<?= (@$info->travel_document_country=="Macau SAR")?" selected":""?>>Macau SAR</option>
<option value="Madagascar"<?= (@$info->travel_document_country=="Madagascar")?" selected":""?>>Madagascar</option>
<option value="Madeira"<?= (@$info->travel_document_country=="Madeira")?" selected":""?>>Madeira</option>
<option value="Malawi"<?= (@$info->travel_document_country=="Malawi")?" selected":""?>>Malawi</option>
<option value="Malaysia"<?= (@$info->travel_document_country=="Malaysia")?" selected":""?>>Malaysia</option>
<option value="Maldives, Republic Of"<?= (@$info->travel_document_country=="Maldives, Republic Of")?" selected":""?>>Maldives, Republic Of</option>
<option value="Mali, Republic Of"<?= (@$info->travel_document_country=="Mali, Republic Of")?" selected":""?>>Mali, Republic Of</option>
<option value="Malta"<?= (@$info->travel_document_country=="Malta")?" selected":""?>>Malta</option>
<option value="Marshall Islands"<?= (@$info->travel_document_country=="Marshall Islands")?" selected":""?>>Marshall Islands</option>
<option value="Martinique"<?= (@$info->travel_document_country=="Martinique")?" selected":""?>>Martinique</option>
<option value="Mauritania"<?= (@$info->travel_document_country=="Mauritania")?" selected":""?>>Mauritania</option>
<option value="Mauritius"<?= (@$info->travel_document_country=="Mauritius")?" selected":""?>>Mauritius</option>
<option value="Mayotte"<?= (@$info->travel_document_country=="Mayotte")?" selected":""?>>Mayotte</option>
<option value="Mexico"<?= (@$info->travel_document_country=="Mexico")?" selected":""?>>Mexico</option>
<option value="Moldova"<?= (@$info->travel_document_country=="Moldova")?" selected":""?>>Moldova</option>
<option value="Monaco"<?= (@$info->travel_document_country=="Monaco")?" selected":""?>>Monaco</option>
<option value="Mongolia, People's Republic Of"<?= (@$info->travel_document_country=="Mongolia, People's Republic Of")?" selected":""?>>Mongolia, People's Republic Of</option>
<option value="Montenegro, Republic Of"<?= (@$info->travel_document_country=="Montenegro, Republic Of")?" selected":""?>>Montenegro, Republic Of</option>
<option value="Montserrat"<?= (@$info->travel_document_country=="Montserrat")?" selected":""?>>Montserrat</option>
<option value="Morocco"<?= (@$info->travel_document_country=="Morocco")?" selected":""?>>Morocco</option>
<option value="Monzambique"<?= (@$info->travel_document_country=="Monzambique")?" selected":""?>>Monzambique</option>
<option value="Myanmar (Burma)"<?= (@$info->travel_document_country=="Myanmar (Burma)")?" selected":""?>>Myanmar (Burma)</option>
<option value="Namibia"<?= (@$info->travel_document_country=="Namibia")?" selected":""?>>Namibia</option>
<option value="Nauru"<?= (@$info->travel_document_country=="Nauru")?" selected":""?>>Nauru</option>
<option value="Nepal"<?= (@$info->travel_document_country=="Nepal")?" selected":""?>>Nepal</option>
<option value="Netherlands Antilles, The"<?= (@$info->travel_document_country=="Netherlands Antilles, The")?" selected":""?>>Netherlands Antilles, The</option>
<option value="Netherlands, The"<?= (@$info->travel_document_country=="Netherlands, The")?" selected":""?>>Netherlands, The</option>
<option value="Nevis"<?= (@$info->travel_document_country=="Nevis")?" selected":""?>>Nevis</option>
<option value="New Caledonia"<?= (@$info->travel_document_country=="New Caledonia")?" selected":""?>>New Caledonia</option>
<option value="New Zealand"<?= (@$info->travel_document_country=="New Zealand")?" selected":""?>>New Zealand</option>
<option value="Nicaragua"<?= (@$info->travel_document_country=="Nicaragua")?" selected":""?>>Nicaragua</option>
<option value="Niger, Republic Of The"<?= (@$info->travel_document_country=="Niger, Republic Of The")?" selected":""?>>Niger, Republic Of The</option>
<option value="Nigeria"<?= (@$info->travel_document_country=="Nigeria")?" selected":""?>>Nigeria</option>
<option value="Northern Ireland"<?= (@$info->travel_document_country=="Northern Ireland")?" selected":""?>>Northern Ireland</option>
<option value="Northern Mariana Islands"<?= (@$info->travel_document_country=="Northern Mariana Islands")?" selected":""?>>Northern Mariana Islands</option>
<option value="Norway"<?= (@$info->travel_document_country=="Norway")?" selected":""?>>Norway</option>
<option value="Oman"<?= (@$info->travel_document_country=="Oman")?" selected":""?>>Oman</option>
<option value="Pakistan"<?= (@$info->travel_document_country=="Pakistan")?" selected":""?>>Pakistan</option>
<option value="Palestinian Autho.Gaza/W Bank"<?= (@$info->travel_document_country=="Palestinian Autho.Gaza/W Bank")?" selected":""?>>Palestinian Autho.Gaza/W Bank</option>
<option value="Panama, Republic Of"<?= (@$info->travel_document_country=="Panama, Republic Of")?" selected":""?>>Panama, Republic Of</option>
<option value="Papua New Guinea"<?= (@$info->travel_document_country=="Papua New Guinea")?" selected":""?>>Papua New Guinea</option>
<option value="Paraguay"<?= (@$info->travel_document_country=="Paraguay")?" selected":""?>>Paraguay</option>
<option value="Peru"<?= (@$info->travel_document_country=="Peru")?" selected":""?>>Peru</option>
<option value="Philippines"<?= (@$info->travel_document_country=="Philippines")?" selected":""?>>Philippines</option>
<option value="Pitcairn Island"<?= (@$info->travel_document_country=="Pitcairn Island")?" selected":""?>>Pitcairn Island</option>
<option value="poland"<?= (@$info->travel_document_country=="poland")?" selected":""?>>poland</option>
<option value="Portugal"<?= (@$info->travel_document_country=="Portugal")?" selected":""?>>Portugal</option>
<option value="Puerto Rico"<?= (@$info->travel_document_country=="Puerto Rico")?" selected":""?>>Puerto Rico</option>
<option value="Qatar"<?= (@$info->travel_document_country=="Qatar")?" selected":""?>>Qatar</option>
<option value="Republic Of Kosovo"<?= (@$info->travel_document_country=="Republic Of Kosovo")?" selected":""?>>Republic Of Kosovo</option>
<option value="Republic Of Palau"<?= (@$info->travel_document_country=="Republic Of Palau")?" selected":""?>>Republic Of Palau</option>
<option value="Reunion"<?= (@$info->travel_document_country=="Reunion")?" selected":""?>>Reunion</option>
<option value="Romania"<?= (@$info->travel_document_country=="Romania")?" selected":""?>>Romania</option>
<option value="Russia"<?= (@$info->travel_document_country=="Russia")?" selected":""?>>Russia</option>
<option value="Rwanda"<?= (@$info->travel_document_country=="Rwanda")?" selected":""?>>Rwanda</option>
<option value="Samoa, American"<?= (@$info->travel_document_country=="Samoa, American")?" selected":""?>>Samoa, American</option>
<option value="Samoa, Western"<?= (@$info->travel_document_country=="Samoa, Western")?" selected":""?>>Samoa, Western</option>
<option value="San Marino"<?= (@$info->travel_document_country=="San Marino")?" selected":""?>>San Marino</option>
<option value="Sao Tome E Principe"<?= (@$info->travel_document_country=="Sao Tome E Principe")?" selected":""?>>Sao Tome E Principe</option>
<option value="Saudi Arabia"<?= (@$info->travel_document_country=="Saudi Arabia")?" selected":""?>>Saudi Arabia</option>
<option value="Scotland"<?= (@$info->travel_document_country=="Scotland")?" selected":""?>>Scotland</option>
<option value="Senegal"<?= (@$info->travel_document_country=="Senegal")?" selected":""?>>Senegal</option>
<option value="Serbia And Montenegro"<?= (@$info->travel_document_country=="Serbia And Montenegro")?" selected":""?>>Serbia And Montenegro</option>
<option value="Serbia, Republic Of"<?= (@$info->travel_document_country=="Serbia, Republic Of")?" selected":""?>>Serbia, Republic Of</option>
<option value="Seychelles"<?= (@$info->travel_document_country=="Seychelles")?" selected":""?>>Seychelles</option>
<option value="Sierra Leone"<?= (@$info->travel_document_country=="Sierra Leone")?" selected":""?>>Sierra Leone</option>
<option value="Singapore"<?= (@$info->travel_document_country=="Singapore")?" selected":""?>>Singapore</option>
<option value="Slovak Republic"<?= (@$info->travel_document_country=="Slovak Republic")?" selected":""?>>Slovak Republic</option>
<option value="Slovenia"<?= (@$info->travel_document_country=="Slovenia")?" selected":""?>>Slovenia</option>
<option value="Solomons, The"<?= (@$info->travel_document_country=="Solomons, The")?" selected":""?>>Solomons, The</option>
<option value="Somali Republic"<?= (@$info->travel_document_country=="Somali Republic")?" selected":""?>>Somali Republic</option>
<option value="South Africa, Republic Of"<?= (@$info->travel_document_country=="South Africa, Republic Of")?" selected":""?>>South Africa, Republic Of</option>
<option value="Southern Antarctic Territories"<?= (@$info->travel_document_country=="Southern Antarctic Territories")?" selected":""?>>Southern Antarctic Territories</option>
<option value="Spain"<?= (@$info->travel_document_country=="Spain")?" selected":""?>>Spain</option>
<option value="Sri Lanka"<?= (@$info->travel_document_country=="Sri Lanka")?" selected":""?>>Sri Lanka</option>
<option value="St. Helena"<?= (@$info->travel_document_country=="St. Helena")?" selected":""?>>St. Helena</option>
<option value="St. Kitts-Nevis"<?= (@$info->travel_document_country=="St. Kitts-Nevis")?" selected":""?>>St. Kitts-Nevis</option>
<option value="St. Lucia"<?= (@$info->travel_document_country=="St. Lucia")?" selected":""?>>St. Lucia</option>
<option value="St. Pierre Et Miquelon"<?= (@$info->travel_document_country=="St. Pierre Et Miquelon")?" selected":""?>>St. Pierre Et Miquelon</option>
<option value="St. Vincent and the Grenadines"<?= (@$info->travel_document_country=="St. Vincent and the Grenadines")?" selected":""?>>St. Vincent and the Grenadines</option>
<option value="Sudan, Democratic Republic Of"<?= (@$info->travel_document_country=="Sudan, Democratic Republic Of")?" selected":""?>>Sudan, Democratic Republic Of</option>
<option value="Surinam"<?= (@$info->travel_document_country=="Surinam")?" selected":""?>>Surinam</option>
<option value="Swaziland"<?= (@$info->travel_document_country=="Swaziland")?" selected":""?>>Swaziland</option>
<option value="Sweden"<?= (@$info->travel_document_country=="Sweden")?" selected":""?>>Sweden</option>
<option value="Switzerland"<?= (@$info->travel_document_country=="Switzerland")?" selected":""?>>Switzerland</option>
<option value="Syria"<?= (@$info->travel_document_country=="Syria")?" selected":""?>>Syria</option>
<option value="Tadjikistan"<?= (@$info->travel_document_country=="Tadjikistan")?" selected":""?>>Tadjikistan</option>
<option value="Taiwan"<?= (@$info->travel_document_country=="Taiwan")?" selected":""?>>Taiwan</option>
<option value="Tanzania, United Republic Of"<?= (@$info->travel_document_country=="Tanzania, United Republic Of")?" selected":""?>>Tanzania, United Republic Of</option>
<option value="Thailand"<?= (@$info->travel_document_country=="Thailand")?" selected":""?>>Thailand</option>
<option value="Tibet"<?= (@$info->travel_document_country=="Tibet")?" selected":""?>>Tibet</option>
<option value="Togo, Republic Of"<?= (@$info->travel_document_country=="Togo, Republic Of")?" selected":""?>>Togo, Republic Of</option>
<option value="Tonga"<?= (@$info->travel_document_country=="Tonga")?" selected":""?>>Tonga</option>
<option value="Trinidad & Tobago, Republic Of"<?= (@$info->travel_document_country=="Trinidad & Tobago, Republic Of")?" selected":""?>>Trinidad & Tobago, Republic Of</option>
<option value="Tunisia"<?= (@$info->travel_document_country=="Tunisia")?" selected":""?>>Tunisia</option>
<option value="Turkey"<?= (@$info->travel_document_country=="Turkey")?" selected":""?>>Turkey</option>
<option value="Turkmenistan"<?= (@$info->travel_document_country=="Turkmenistan")?" selected":""?>>Turkmenistan</option>
<option value="Turks And Caicos Islands"<?= (@$info->travel_document_country=="Turks And Caicos Islands")?" selected":""?>>Turks And Caicos Islands</option>
<option value="Tuvalu"<?= (@$info->travel_document_country=="Tuvalu")?" selected":""?>>Tuvalu</option>
<option value="Uganda"<?= (@$info->travel_document_country=="Uganda")?" selected":""?>>Uganda</option>
<option value="Ukraine"<?= (@$info->travel_document_country=="Ukraine")?" selected":""?>>Ukraine</option>
<option value="Union Of Soviet Socialist Rep"<?= (@$info->travel_document_country=="Union Of Soviet Socialist Rep")?" selected":""?>>Union Of Soviet Socialist Rep</option>
<option value="united Arab Emirates"<?= (@$info->travel_document_country=="united Arab Emirates")?" selected":""?>>united Arab Emirates</option>
<option value="United States of America"<?= (@$info->travel_document_country=="United States of America")?" selected":""?>>United States of America</option>
<option value="Unknown"<?= (@$info->travel_document_country=="Unknown")?" selected":""?>>Unknown</option>
<option value="Uruguay"<?= (@$info->travel_document_country=="Uruguay")?" selected":""?>>Uruguay</option>
<option value="Uzbekistan"<?= (@$info->travel_document_country=="Uzbekistan")?" selected":""?>>Uzbekistan</option>
<option value="Vanuatu"<?= (@$info->travel_document_country=="Vanuatu")?" selected":""?>>Vanuatu</option>
<option value="Venezuela"<?= (@$info->travel_document_country=="Venezuela")?" selected":""?>>Venezuela</option>
<option value="Vietnam, Socialist Republic Of"<?= (@$info->travel_document_country=="Vietnam, Socialist Republic Of")?" selected":""?>>Vietnam, Socialist Republic Of</option>
<option value="Virgin Islands, British"<?= (@$info->travel_document_country=="Virgin Islands, British")?" selected":""?>>Virgin Islands, British</option>
<option value="Virgin Islands, U.s."<?= (@$info->travel_document_country=="Virgin Islands, U.s.")?" selected":""?>>Virgin Islands, U.s.</option>
<option value="Wales"<?= (@$info->travel_document_country=="Wales")?" selected":""?>>Wales</option>
<option value="Wallis And Futuna"<?= (@$info->travel_document_country=="Wallis And Futuna")?" selected":""?>>Wallis And Futuna</option>
<option value="Western Sahara"<?= (@$info->travel_document_country=="Western Sahara")?" selected":""?>>Western Sahara</option>
<option value="Yemen, Republic Of"<?= (@$info->travel_document_country=="Yemen, Republic Of")?" selected":""?>>Yemen, Republic Of</option>
<option value="Yugoslavia"<?= (@$info->travel_document_country=="Yugoslavia")?" selected":""?>>Yugoslavia</option>
<option value="Zambia"<?= (@$info->travel_document_country=="Zambia")?" selected":""?>>Zambia</option>
<option value="Zimbabwe"<?= (@$info->travel_document_country=="Zimbabwe")?" selected":""?>>Zimbabwe</option>
			</select>			</td>
        </tr>
        <tr class="odd">
            <td>3 Issue date</td>
            <td><input type="text" name="travel_document_issue_date" value="<?= @$info->travel_document_issue_date?>" id="travel_document_issue_date" /></td>
            <td>&nbsp;</td>
            <td>4 Expiry date</td>
            <td><input type="text" name="travel_document_valid_date" value="<?= @$info->travel_document_valid_date?>" id="travel_document_valid_date" /></td>
        </tr>
        <tr class="even">
            <td colspan="5"><strong>CONTACT INFORMATION</strong></td>
        </tr>
        <tr class="odd">
            <td colspan="5">1 Current mailing address<br />
- All correspondence will go to this address unless you indicate your e-mail address below.<br/>
- Indicating an e-mail address will authorize all correspondence, including file and personal information, to be sent to the e-mail address you specify. <br/>
- If you wish to authorize the release of information from your application to a representative, indicate their e-mail and mailing address(es) in this section and on the IMM5476 form.</td>
        </tr>
        <tr class="odd">
			<td>P.O. box</td>
        	<td><input type="text" name="mailing_box" value="<?= @$info->mailing_box?>" /></td>
        	<td>&nbsp;</td>
        	<td>Apt/Unit</td>
        	<td><input type="text" name="mailing_apt" value="<?= @$info->mailing_apt?>" /></td>
        	</tr>
        <tr class="even">
			<td>Street no.</td>
        	<td><input type="text" name="mailing_street_no" value="<?= @$info->mailing_street_no?>" /></td>
        	<td>&nbsp;</td>
        	<td>Street name</td>
        	<td><input type="text" name="mailing_street_name" value="<?= @$info->mailing_street_name?>" /></td>
        	</tr>
        <tr class="odd">
			<td>City/Town</td>
        	<td><input type="text" name="mailing_city" value="<?= @$info->mailing_city?>" /></td>
        	<td>&nbsp;</td>
        	<td>Country</td>
        	<td><select name="mailing_country">
					<option></option>
					<option value="Afghanistan"<?= (@$info->mailing_country=="Afghanistan")?" selected":""?>>Afghanistan</option>
					<option value="Albania"<?= (@$info->mailing_country=="Albania")?" selected":""?>>Albania</option>
					<option value="Algeria"<?= (@$info->mailing_country=="Algeria")?" selected":""?>>Algeria</option>
					<option value="Andorra"<?= (@$info->mailing_country=="Andorra")?" selected":""?>>Andorra</option>
					<option value="Angola"<?= (@$info->mailing_country=="Angola")?" selected":""?>>Angola</option>
					<option value="Anguilla"<?= (@$info->mailing_country=="Anguilla")?" selected":""?>>Anguilla</option>
					<option value="Antigua And Barbuda"<?= (@$info->mailing_country=="Antigua And Barbuda")?" selected":""?>>Antigua And Barbuda</option>
					<option value="Argentina"<?= (@$info->mailing_country=="Argentina")?" selected":""?>>Argentina</option>
					<option value="Armenia"<?= (@$info->mailing_country=="Armenia")?" selected":""?>>Armenia</option>
					<option value="Aruba"<?= (@$info->mailing_country=="Aruba")?" selected":""?>>Aruba</option>
					<option value="Australia"<?= (@$info->mailing_country=="Australia")?" selected":""?>>Australia</option>
					<option value="Austria"<?= (@$info->mailing_country=="Austria")?" selected":""?>>Austria</option>
					<option value="Azerbaijan"<?= (@$info->mailing_country=="Azerbaijan")?" selected":""?>>Azerbaijan</option>
					<option value="Azores"<?= (@$info->mailing_country=="Azores")?" selected":""?>>Azores</option>
					<option value="Bahama Islands, The"<?= (@$info->mailing_country=="Bahama Islands, The")?" selected":""?>>Bahama Islands, The</option>
					<option value="Bahrain"<?= (@$info->mailing_country=="Bahrain")?" selected":""?>>Bahrain</option>
					<option value="Bangladesh"<?= (@$info->mailing_country=="Bangladesh")?" selected":""?>>Bangladesh</option>
					<option value="Barbados"<?= (@$info->mailing_country=="Barbados")?" selected":""?>>Barbados</option>
					<option value="Belarus"<?= (@$info->mailing_country=="Belarus")?" selected":""?>>Belarus</option>
					<option value="Belgium"<?= (@$info->mailing_country=="Belgium")?" selected":""?>>Belgium</option>
					<option value="Belize"<?= (@$info->mailing_country=="Belize")?" selected":""?>>Belize</option>
					<option value="Benin, Peoples Republic Of"<?= (@$info->mailing_country=="Benin, Peoples Republic Of")?" selected":""?>>Benin, Peoples Republic Of</option>
					<option value="Bermuda"<?= (@$info->mailing_country=="Bermuda")?" selected":""?>>Bermuda</option>
					<option value="Bhutan"<?= (@$info->mailing_country=="Bhutan")?" selected":""?>>Bhutan</option>
					<option value="Bolivia"<?= (@$info->mailing_country=="Bolivia")?" selected":""?>>Bolivia</option>
					<option value="Bosnia-Hercepovina"<?= (@$info->mailing_country=="Bosnia-Hercepovina")?" selected":""?>>Bosnia-Hercepovina</option>
					<option value="Botswana, Republic Of"<?= (@$info->mailing_country=="Botswana, Republic Of")?" selected":""?>>Botswana, Republic Of</option>
					<option value="Brazil"<?= (@$info->mailing_country=="Brazil")?" selected":""?>>Brazil</option>
					<option value="Brunei"<?= (@$info->mailing_country=="Brunei")?" selected":""?>>Brunei</option>
					<option value="Bulgaria"<?= (@$info->mailing_country=="Bulgaria")?" selected":""?>>Bulgaria</option>
					<option value="Burkina Faso"<?= (@$info->mailing_country=="Burkina Faso")?" selected":""?>>Burkina Faso</option>
					<option value="Burundi"<?= (@$info->mailing_country=="Burundi")?" selected":""?>>Burundi</option>
					<option value="Cambodia"<?= (@$info->mailing_country=="Cambodia")?" selected":""?>>Cambodia</option>
					<option value="Cameroon, Federal Republic Of"<?= (@$info->mailing_country=="Cameroon, Federal Republic Of")?" selected":""?>>Cameroon, Federal Republic Of</option>
					<option value="Canada"<?= (@$info->mailing_country=="Canada")?" selected":""?>>Canada</option>
					<option value="Canary Islands"<?= (@$info->mailing_country=="Canary Islands")?" selected":""?>>Canary Islands</option>
					<option value="Cape Verde Islands"<?= (@$info->mailing_country=="Cape Verde Islands")?" selected":""?>>Cape Verde Islands</option>
					<option value="Cayman Islands"<?= (@$info->mailing_country=="Cayman Islands")?" selected":""?>>Cayman Islands</option>
					<option value="Central Africa Republic"<?= (@$info->mailing_country=="Central Africa Republic")?" selected":""?>>Central Africa Republic</option>
					<option value="Chad, Republic Of"<?= (@$info->mailing_country=="Chad, Republic Of")?" selected":""?>>Chad, Republic Of</option>
					<option value="Channel Islands"<?= (@$info->mailing_country=="Channel Islands")?" selected":""?>>Channel Islands</option>
					<option value="Chile"<?= (@$info->mailing_country=="Chile")?" selected":""?>>Chile</option>
					<option value="China, People's Republic Of"<?= (@$info->mailing_country=="China, People's Republic Of")?" selected":""?>>China, People's Republic Of</option>
					<option value="Colombia"<?= (@$info->mailing_country=="Colombia")?" selected":""?>>Colombia</option>
					<option value="Comoros"<?= (@$info->mailing_country=="Comoros")?" selected":""?>>Comoros</option>
					<option value="Congo, People's Republic Of"<?= (@$info->mailing_country=="Congo, People's Republic Of")?" selected":""?>>Congo, People's Republic Of</option>
					<option value="Congo, Democratic Republic Of"<?= (@$info->mailing_country=="Congo, Democratic Republic Of")?" selected":""?>>Congo, Democratic Republic Of</option>
					<option value="Cook Islands"<?= (@$info->mailing_country=="Cook Islands")?" selected":""?>>Cook Islands</option>
					<option value="Costa Rica"<?= (@$info->mailing_country=="Costa Rica")?" selected":""?>>Costa Rica</option>
					<option value="Croatia"<?= (@$info->mailing_country=="Croatia")?" selected":""?>>Croatia</option>
					<option value="Cuba"<?= (@$info->mailing_country=="Cuba")?" selected":""?>>Cuba</option>
					<option value="Cyprus"<?= (@$info->mailing_country=="Cyprus")?" selected":""?>>Cyprus</option>
					<option value="Czech Republic"<?= (@$info->mailing_country=="Czech Republic")?" selected":""?>>Czech Republic</option>
					<option value="Czechoslovakia"<?= (@$info->mailing_country=="Czechoslovakia")?" selected":""?>>Czechoslovakia</option>
					<option value="Denmark"<?= (@$info->mailing_country=="Denmark")?" selected":""?>>Denmark</option>
					<option value="Djibouti, Republic Of"<?= (@$info->mailing_country=="Djibouti, Republic Of")?" selected":""?>>Djibouti, Republic Of</option>
					<option value="Dominica"<?= (@$info->mailing_country=="Dominica")?" selected":""?>>Dominica</option>
					<option value="Dominican Republic"<?= (@$info->mailing_country=="Dominican Republic")?" selected":""?>>Dominican Republic</option>
					<option value="East Timor"<?= (@$info->mailing_country=="East Timor")?" selected":""?>>East Timor</option>
					<option value="Ecuador"<?= (@$info->mailing_country=="Ecuador")?" selected":""?>>Ecuador</option>
					<option value="Egypt"<?= (@$info->mailing_country=="Egypt")?" selected":""?>>Egypt</option>
					<option value="El Salvador"<?= (@$info->mailing_country=="El Salvador")?" selected":""?>>El Salvador</option>
					<option value="England"<?= (@$info->mailing_country=="England")?" selected":""?>>England</option>
					<option value="Eritrea"<?= (@$info->mailing_country=="Eritrea")?" selected":""?>>Eritrea</option>
					<option value="Estonia"<?= (@$info->mailing_country=="Estonia")?" selected":""?>>Estonia</option>
					<option value="Ethiopia"<?= (@$info->mailing_country=="Ethiopia")?" selected":""?>>Ethiopia</option>
					<option value="Falkland Islands"<?= (@$info->mailing_country=="Falkland Islands")?" selected":""?>>Falkland Islands</option>
					<option value="Federated States of Micronesia"<?= (@$info->mailing_country=="Federated States of Micronesia")?" selected":""?>>Federated States of Micronesia</option>
					<option value="Fiji"<?= (@$info->mailing_country=="Fiji")?" selected":""?>>Fiji</option>
					<option value="Finland"<?= (@$info->mailing_country=="Finland")?" selected":""?>>Finland</option>
					<option value="France"<?= (@$info->mailing_country=="France")?" selected":""?>>France</option>
					<option value="French Guiana"<?= (@$info->mailing_country=="French Guiana")?" selected":""?>>French Guiana</option>
					<option value="French Polynesia"<?= (@$info->mailing_country=="French Polynesia")?" selected":""?>>French Polynesia</option>
					<option value="Fyr Macedonia"<?= (@$info->mailing_country=="Fyr Macedonia")?" selected":""?>>Fyr Macedonia</option>
					<option value="Gabon Republic"<?= (@$info->mailing_country=="Gabon Republic")?" selected":""?>>Gabon Republic</option>
					<option value="Gambia"<?= (@$info->mailing_country=="Gambia")?" selected":""?>>Gambia</option>
					<option value="Georgia"<?= (@$info->mailing_country=="Georgia")?" selected":""?>>Georgia</option>
					<option value="Germany, Federal Rebpublic Of"<?= (@$info->mailing_country=="Germany, Federal Rebpublic Of")?" selected":""?>>Germany, Federal Rebpublic Of</option>
					<option value="Ghana"<?= (@$info->mailing_country=="Ghana")?" selected":""?>>Ghana</option>
					<option value="Gibraltar"<?= (@$info->mailing_country=="Gibraltar")?" selected":""?>>Gibraltar</option>
					<option value="Greece"<?= (@$info->mailing_country=="Greece")?" selected":""?>>Greece</option>
					<option value="Greenland"<?= (@$info->mailing_country=="Greenland")?" selected":""?>>Greenland</option>
					<option value="Grenada"<?= (@$info->mailing_country=="Grenada")?" selected":""?>>Grenada</option>
					<option value="Guadeloupe"<?= (@$info->mailing_country=="Guadeloupe")?" selected":""?>>Guadeloupe</option>
					<option value="Guam"<?= (@$info->mailing_country=="Guam")?" selected":""?>>Guam</option>
					<option value="Guatemala"<?= (@$info->mailing_country=="Guatemala")?" selected":""?>>Guatemala</option>
					<option value="Guinea, Equatorial"<?= (@$info->mailing_country=="Guinea, Equatorial")?" selected":""?>>Guinea, Equatorial</option>
					<option value="Guinea, Republic Of"<?= (@$info->mailing_country=="Guinea, Republic Of")?" selected":""?>>Guinea, Republic Of</option>
					<option value="Guinea-Bissau"<?= (@$info->mailing_country=="Guinea-Bissau")?" selected":""?>>Guinea-Bissau</option>
					<option value="Guyana"<?= (@$info->mailing_country=="Guyana")?" selected":""?>>Guyana</option>
					<option value="Haiti"<?= (@$info->mailing_country=="Haiti")?" selected":""?>>Haiti</option>
					<option value="Holy See"<?= (@$info->mailing_country=="Holy See")?" selected":""?>>Holy See</option>
					<option value="Honduras"<?= (@$info->mailing_country=="Honduras")?" selected":""?>>Honduras</option>
					<option value="Hong Kong"<?= (@$info->mailing_country=="Hong Kong")?" selected":""?>>Hong Kong</option>
					<option value="Hong Kong Sar"<?= (@$info->mailing_country=="Hong Kong Sar")?" selected":""?>>Hong Kong Sar</option>
					<option value="Hungary"<?= (@$info->mailing_country=="Hungary")?" selected":""?>>Hungary</option>
					<option value="Iceland"<?= (@$info->mailing_country=="Iceland")?" selected":""?>>Iceland</option>
					<option value="India"<?= (@$info->mailing_country=="India")?" selected":""?>>India</option>
					<option value="Indonesia, Republic Of"<?= (@$info->mailing_country=="Indonesia, Republic Of")?" selected":""?>>Indonesia, Republic Of</option>
					<option value="Iran"<?= (@$info->mailing_country=="Iran")?" selected":""?>>Iran</option>
					<option value="Iraq"<?= (@$info->mailing_country=="Iraq")?" selected":""?>>Iraq</option>
					<option value="Ireland, Republic Of"<?= (@$info->mailing_country=="Ireland, Republic Of")?" selected":""?>>Ireland, Republic Of</option>
					<option value="Israel"<?= (@$info->mailing_country=="Israel")?" selected":""?>>Israel</option>
					<option value="Italy"<?= (@$info->mailing_country=="Italy")?" selected":""?>>Italy</option>
					<option value="Ivory Coast, Republic"<?= (@$info->mailing_country=="Ivory Coast, Republic")?" selected":""?>>Ivory Coast, Republic</option>
					<option value="Jamaica"<?= (@$info->mailing_country=="Jamaica")?" selected":""?>>Jamaica</option>
					<option value="Japan"<?= (@$info->mailing_country=="Japan")?" selected":""?>>Japan</option>
					<option value="Jordan"<?= (@$info->mailing_country=="Jordan")?" selected":""?>>Jordan</option>
					<option value="Kazakhstan"<?= (@$info->mailing_country=="Kazakhstan")?" selected":""?>>Kazakhstan</option>
					<option value="Kenya"<?= (@$info->mailing_country=="Kenya")?" selected":""?>>Kenya</option>
					<option value="Kiribati"<?= (@$info->mailing_country=="Kiribati")?" selected":""?>>Kiribati</option>
					<option value="Korea (North)"<?= (@$info->mailing_country=="Korea (North)")?" selected":""?>>Korea (North)</option>
					<option value="Korea, Republic Of"<?= (@$info->mailing_country=="Korea, Republic Of")?" selected":""?>>Korea, Republic Of</option>
					<option value="Kuwait"<?= (@$info->mailing_country=="Kuwait")?" selected":""?>>Kuwait</option>
					<option value="Kyrgyzstan"<?= (@$info->mailing_country=="Kyrgyzstan")?" selected":""?>>Kyrgyzstan</option>
					<option value="Laos"<?= (@$info->mailing_country=="Laos")?" selected":""?>>Laos</option>
					<option value="Latvia"<?= (@$info->mailing_country=="Latvia")?" selected":""?>>Latvia</option>
					<option value="Lebanon"<?= (@$info->mailing_country=="Lebanon")?" selected":""?>>Lebanon</option>
					<option value="Lesotho"<?= (@$info->mailing_country=="Lesotho")?" selected":""?>>Lesotho</option>
					<option value="Liberia"<?= (@$info->mailing_country=="Liberia")?" selected":""?>>Liberia</option>
					<option value="Libya"<?= (@$info->mailing_country=="Libya")?" selected":""?>>Libya</option>
					<option value="Liechtenstein"<?= (@$info->mailing_country=="Liechtenstein")?" selected":""?>>Liechtenstein</option>
					<option value="Lithuania"<?= (@$info->mailing_country=="Lithuania")?" selected":""?>>Lithuania</option>
					<option value="Luxembourg"<?= (@$info->mailing_country=="Luxembourg")?" selected":""?>>Luxembourg</option>
					<option value="Macao"<?= (@$info->mailing_country=="Macao")?" selected":""?>>Macao</option>
					<option value="Macau SAR"<?= (@$info->mailing_country=="Macau SAR")?" selected":""?>>Macau SAR</option>
					<option value="Madagascar"<?= (@$info->mailing_country=="Madagascar")?" selected":""?>>Madagascar</option>
					<option value="Madeira"<?= (@$info->mailing_country=="Madeira")?" selected":""?>>Madeira</option>
					<option value="Malawi"<?= (@$info->mailing_country=="Malawi")?" selected":""?>>Malawi</option>
					<option value="Malaysia"<?= (@$info->mailing_country=="Malaysia")?" selected":""?>>Malaysia</option>
					<option value="Maldives, Republic Of"<?= (@$info->mailing_country=="Maldives, Republic Of")?" selected":""?>>Maldives, Republic Of</option>
					<option value="Mali, Republic Of"<?= (@$info->mailing_country=="Mali, Republic Of")?" selected":""?>>Mali, Republic Of</option>
					<option value="Malta"<?= (@$info->mailing_country=="Malta")?" selected":""?>>Malta</option>
					<option value="Marshall Islands"<?= (@$info->mailing_country=="Marshall Islands")?" selected":""?>>Marshall Islands</option>
					<option value="Martinique"<?= (@$info->mailing_country=="Martinique")?" selected":""?>>Martinique</option>
					<option value="Mauritania"<?= (@$info->mailing_country=="Mauritania")?" selected":""?>>Mauritania</option>
					<option value="Mauritius"<?= (@$info->mailing_country=="Mauritius")?" selected":""?>>Mauritius</option>
					<option value="Mayotte"<?= (@$info->mailing_country=="Mayotte")?" selected":""?>>Mayotte</option>
					<option value="Mexico"<?= (@$info->mailing_country=="Mexico")?" selected":""?>>Mexico</option>
					<option value="Moldova"<?= (@$info->mailing_country=="Moldova")?" selected":""?>>Moldova</option>
					<option value="Monaco"<?= (@$info->mailing_country=="Monaco")?" selected":""?>>Monaco</option>
					<option value="Mongolia, People's Republic Of"<?= (@$info->mailing_country=="Mongolia, People's Republic Of")?" selected":""?>>Mongolia, People's Republic Of</option>
					<option value="Montenegro, Republic Of"<?= (@$info->mailing_country=="Montenegro, Republic Of")?" selected":""?>>Montenegro, Republic Of</option>
					<option value="Montserrat"<?= (@$info->mailing_country=="Montserrat")?" selected":""?>>Montserrat</option>
					<option value="Morocco"<?= (@$info->mailing_country=="Morocco")?" selected":""?>>Morocco</option>
					<option value="Monzambique"<?= (@$info->mailing_country=="Monzambique")?" selected":""?>>Monzambique</option>
					<option value="Myanmar (Burma)"<?= (@$info->mailing_country=="Myanmar (Burma)")?" selected":""?>>Myanmar (Burma)</option>
					<option value="Namibia"<?= (@$info->mailing_country=="Namibia")?" selected":""?>>Namibia</option>
					<option value="Nauru"<?= (@$info->mailing_country=="Nauru")?" selected":""?>>Nauru</option>
					<option value="Nepal"<?= (@$info->mailing_country=="Nepal")?" selected":""?>>Nepal</option>
					<option value="Netherlands Antilles, The"<?= (@$info->mailing_country=="Netherlands Antilles, The")?" selected":""?>>Netherlands Antilles, The</option>
					<option value="Netherlands, The"<?= (@$info->mailing_country=="Netherlands, The")?" selected":""?>>Netherlands, The</option>
					<option value="Nevis"<?= (@$info->mailing_country=="Nevis")?" selected":""?>>Nevis</option>
					<option value="New Caledonia"<?= (@$info->mailing_country=="New Caledonia")?" selected":""?>>New Caledonia</option>
					<option value="New Zealand"<?= (@$info->mailing_country=="New Zealand")?" selected":""?>>New Zealand</option>
					<option value="Nicaragua"<?= (@$info->mailing_country=="Nicaragua")?" selected":""?>>Nicaragua</option>
					<option value="Niger, Republic Of The"<?= (@$info->mailing_country=="Niger, Republic Of The")?" selected":""?>>Niger, Republic Of The</option>
					<option value="Nigeria"<?= (@$info->mailing_country=="Nigeria")?" selected":""?>>Nigeria</option>
					<option value="Northern Ireland"<?= (@$info->mailing_country=="Northern Ireland")?" selected":""?>>Northern Ireland</option>
					<option value="Northern Mariana Islands"<?= (@$info->mailing_country=="Northern Mariana Islands")?" selected":""?>>Northern Mariana Islands</option>
					<option value="Norway"<?= (@$info->mailing_country=="Norway")?" selected":""?>>Norway</option>
					<option value="Oman"<?= (@$info->mailing_country=="Oman")?" selected":""?>>Oman</option>
					<option value="Pakistan"<?= (@$info->mailing_country=="Pakistan")?" selected":""?>>Pakistan</option>
					<option value="Palestinian Autho.Gaza/W Bank"<?= (@$info->mailing_country=="Palestinian Autho.Gaza/W Bank")?" selected":""?>>Palestinian Autho.Gaza/W Bank</option>
					<option value="Panama, Republic Of"<?= (@$info->mailing_country=="Panama, Republic Of")?" selected":""?>>Panama, Republic Of</option>
					<option value="Papua New Guinea"<?= (@$info->mailing_country=="Papua New Guinea")?" selected":""?>>Papua New Guinea</option>
					<option value="Paraguay"<?= (@$info->mailing_country=="Paraguay")?" selected":""?>>Paraguay</option>
					<option value="Peru"<?= (@$info->mailing_country=="Peru")?" selected":""?>>Peru</option>
					<option value="Philippines"<?= (@$info->mailing_country=="Philippines")?" selected":""?>>Philippines</option>
					<option value="Pitcairn Island"<?= (@$info->mailing_country=="Pitcairn Island")?" selected":""?>>Pitcairn Island</option>
					<option value="poland"<?= (@$info->mailing_country=="poland")?" selected":""?>>poland</option>
					<option value="Portugal"<?= (@$info->mailing_country=="Portugal")?" selected":""?>>Portugal</option>
					<option value="Puerto Rico"<?= (@$info->mailing_country=="Puerto Rico")?" selected":""?>>Puerto Rico</option>
					<option value="Qatar"<?= (@$info->mailing_country=="Qatar")?" selected":""?>>Qatar</option>
					<option value="Republic Of Kosovo"<?= (@$info->mailing_country=="Republic Of Kosovo")?" selected":""?>>Republic Of Kosovo</option>
					<option value="Republic Of Palau"<?= (@$info->mailing_country=="Republic Of Palau")?" selected":""?>>Republic Of Palau</option>
					<option value="Reunion"<?= (@$info->mailing_country=="Reunion")?" selected":""?>>Reunion</option>
					<option value="Romania"<?= (@$info->mailing_country=="Romania")?" selected":""?>>Romania</option>
					<option value="Russia"<?= (@$info->mailing_country=="Russia")?" selected":""?>>Russia</option>
					<option value="Rwanda"<?= (@$info->mailing_country=="Rwanda")?" selected":""?>>Rwanda</option>
					<option value="Samoa, American"<?= (@$info->mailing_country=="Samoa, American")?" selected":""?>>Samoa, American</option>
					<option value="Samoa, Western"<?= (@$info->mailing_country=="Samoa, Western")?" selected":""?>>Samoa, Western</option>
					<option value="San Marino"<?= (@$info->mailing_country=="San Marino")?" selected":""?>>San Marino</option>
					<option value="Sao Tome E Principe"<?= (@$info->mailing_country=="Sao Tome E Principe")?" selected":""?>>Sao Tome E Principe</option>
					<option value="Saudi Arabia"<?= (@$info->mailing_country=="Saudi Arabia")?" selected":""?>>Saudi Arabia</option>
					<option value="Scotland"<?= (@$info->mailing_country=="Scotland")?" selected":""?>>Scotland</option>
					<option value="Senegal"<?= (@$info->mailing_country=="Senegal")?" selected":""?>>Senegal</option>
					<option value="Serbia And Montenegro"<?= (@$info->mailing_country=="Serbia And Montenegro")?" selected":""?>>Serbia And Montenegro</option>
					<option value="Serbia, Republic Of"<?= (@$info->mailing_country=="Serbia, Republic Of")?" selected":""?>>Serbia, Republic Of</option>
					<option value="Seychelles"<?= (@$info->mailing_country=="Seychelles")?" selected":""?>>Seychelles</option>
					<option value="Sierra Leone"<?= (@$info->mailing_country=="Sierra Leone")?" selected":""?>>Sierra Leone</option>
					<option value="Singapore"<?= (@$info->mailing_country=="Singapore")?" selected":""?>>Singapore</option>
					<option value="Slovak Republic"<?= (@$info->mailing_country=="Slovak Republic")?" selected":""?>>Slovak Republic</option>
					<option value="Slovenia"<?= (@$info->mailing_country=="Slovenia")?" selected":""?>>Slovenia</option>
					<option value="Solomons, The"<?= (@$info->mailing_country=="Solomons, The")?" selected":""?>>Solomons, The</option>
					<option value="Somali Republic"<?= (@$info->mailing_country=="Somali Republic")?" selected":""?>>Somali Republic</option>
					<option value="South Africa, Republic Of"<?= (@$info->mailing_country=="South Africa, Republic Of")?" selected":""?>>South Africa, Republic Of</option>
					<option value="Southern Antarctic Territories"<?= (@$info->mailing_country=="Southern Antarctic Territories")?" selected":""?>>Southern Antarctic Territories</option>
					<option value="Spain"<?= (@$info->mailing_country=="Spain")?" selected":""?>>Spain</option>
					<option value="Sri Lanka"<?= (@$info->mailing_country=="Sri Lanka")?" selected":""?>>Sri Lanka</option>
					<option value="St. Helena"<?= (@$info->mailing_country=="St. Helena")?" selected":""?>>St. Helena</option>
					<option value="St. Kitts-Nevis"<?= (@$info->mailing_country=="St. Kitts-Nevis")?" selected":""?>>St. Kitts-Nevis</option>
					<option value="St. Lucia"<?= (@$info->mailing_country=="St. Lucia")?" selected":""?>>St. Lucia</option>
					<option value="St. Pierre Et Miquelon"<?= (@$info->mailing_country=="St. Pierre Et Miquelon")?" selected":""?>>St. Pierre Et Miquelon</option>
					<option value="St. Vincent and the Grenadines"<?= (@$info->mailing_country=="St. Vincent and the Grenadines")?" selected":""?>>St. Vincent and the Grenadines</option>
					<option value="Sudan, Democratic Republic Of"<?= (@$info->mailing_country=="Sudan, Democratic Republic Of")?" selected":""?>>Sudan, Democratic Republic Of</option>
					<option value="Surinam"<?= (@$info->mailing_country=="Surinam")?" selected":""?>>Surinam</option>
					<option value="Swaziland"<?= (@$info->mailing_country=="Swaziland")?" selected":""?>>Swaziland</option>
					<option value="Sweden"<?= (@$info->mailing_country=="Sweden")?" selected":""?>>Sweden</option>
					<option value="Switzerland"<?= (@$info->mailing_country=="Switzerland")?" selected":""?>>Switzerland</option>
					<option value="Syria"<?= (@$info->mailing_country=="Syria")?" selected":""?>>Syria</option>
					<option value="Tadjikistan"<?= (@$info->mailing_country=="Tadjikistan")?" selected":""?>>Tadjikistan</option>
					<option value="Taiwan"<?= (@$info->mailing_country=="Taiwan")?" selected":""?>>Taiwan</option>
					<option value="Tanzania, United Republic Of"<?= (@$info->mailing_country=="Tanzania, United Republic Of")?" selected":""?>>Tanzania, United Republic Of</option>
					<option value="Thailand"<?= (@$info->mailing_country=="Thailand")?" selected":""?>>Thailand</option>
					<option value="Tibet"<?= (@$info->mailing_country=="Tibet")?" selected":""?>>Tibet</option>
					<option value="Togo, Republic Of"<?= (@$info->mailing_country=="Togo, Republic Of")?" selected":""?>>Togo, Republic Of</option>
					<option value="Tonga"<?= (@$info->mailing_country=="Tonga")?" selected":""?>>Tonga</option>
					<option value="Trinidad &amp; Tobago, Republic Of"<?= (@$info->mailing_country=="Trinidad & Tobago, Republic Of")?" selected":""?>>Trinidad &amp; Tobago, Republic Of</option>
					<option value="Tunisia"<?= (@$info->mailing_country=="Tunisia")?" selected":""?>>Tunisia</option>
					<option value="Turkey"<?= (@$info->mailing_country=="Turkey")?" selected":""?>>Turkey</option>
					<option value="Turkmenistan"<?= (@$info->mailing_country=="Turkmenistan")?" selected":""?>>Turkmenistan</option>
					<option value="Turks And Caicos Islands"<?= (@$info->mailing_country=="Turks And Caicos Islands")?" selected":""?>>Turks And Caicos Islands</option>
					<option value="Tuvalu"<?= (@$info->mailing_country=="Tuvalu")?" selected":""?>>Tuvalu</option>
					<option value="Uganda"<?= (@$info->mailing_country=="Uganda")?" selected":""?>>Uganda</option>
					<option value="Ukraine"<?= (@$info->mailing_country=="Ukraine")?" selected":""?>>Ukraine</option>
					<option value="Union Of Soviet Socialist Rep"<?= (@$info->mailing_country=="Union Of Soviet Socialist Rep")?" selected":""?>>Union Of Soviet Socialist Rep</option>
					<option value="united Arab Emirates"<?= (@$info->mailing_country=="united Arab Emirates")?" selected":""?>>united Arab Emirates</option>
					<option value="United States of America"<?= (@$info->mailing_country=="United States of America")?" selected":""?>>United States of America</option>
					<option value="Unknown"<?= (@$info->mailing_country=="Unknown")?" selected":""?>>Unknown</option>
					<option value="Uruguay"<?= (@$info->mailing_country=="Uruguay")?" selected":""?>>Uruguay</option>
					<option value="Uzbekistan"<?= (@$info->mailing_country=="Uzbekistan")?" selected":""?>>Uzbekistan</option>
					<option value="Vanuatu"<?= (@$info->mailing_country=="Vanuatu")?" selected":""?>>Vanuatu</option>
					<option value="Venezuela"<?= (@$info->mailing_country=="Venezuela")?" selected":""?>>Venezuela</option>
					<option value="Vietnam, Socialist Republic Of"<?= (@$info->mailing_country=="Vietnam, Socialist Republic Of")?" selected":""?>>Vietnam, Socialist Republic Of</option>
					<option value="Virgin Islands, British"<?= (@$info->mailing_country=="Virgin Islands, British")?" selected":""?>>Virgin Islands, British</option>
					<option value="Virgin Islands, U.s."<?= (@$info->mailing_country=="Virgin Islands, U.s.")?" selected":""?>>Virgin Islands, U.s.</option>
					<option value="Wales"<?= (@$info->mailing_country=="Wales")?" selected":""?>>Wales</option>
					<option value="Wallis And Futuna"<?= (@$info->mailing_country=="Wallis And Futuna")?" selected":""?>>Wallis And Futuna</option>
					<option value="Western Sahara"<?= (@$info->mailing_country=="Western Sahara")?" selected":""?>>Western Sahara</option>
					<option value="Yemen, Republic Of"<?= (@$info->mailing_country=="Yemen, Republic Of")?" selected":""?>>Yemen, Republic Of</option>
					<option value="Yugoslavia"<?= (@$info->mailing_country=="Yugoslavia")?" selected":""?>>Yugoslavia</option>
					<option value="Zambia"<?= (@$info->mailing_country=="Zambia")?" selected":""?>>Zambia</option>
					<option value="Zimbabwe"<?= (@$info->mailing_country=="Zimbabwe")?" selected":""?>>Zimbabwe</option>
				</select>			</td>
        	</tr>
        <tr class="even">
			<td>Province/State</td>
        	<td><input type="text" name="mailing_province" value="<?= @$info->mailing_province?>" /></td>
        	<td>&nbsp;</td>
        	<td>Postal code</td>
        	<td><input type="text" name="mailing_postal" value="<?= @$info->mailing_postal?>" /></td>
        	</tr>
        <tr class="odd">
			<td>District</td>
        	<td><input type="text" name="mailing_district" value="<?= @$info->mailing_district?>" /></td>
        	<td>&nbsp;</td>
        	<td>&nbsp;</td>
        	<td>&nbsp;</td>
        	</tr>
        
        <tr class="odd">
            <td colspan="2">2 Residential address &nbsp;&nbsp;&nbsp;Same as mailing address?</td>
            <td colspan="3">
			<input type="radio" name="is_same_mailing" value="0" <?= (@$info->is_same_mailing==0)?'checked':''?> />No 
        	<input type="radio" name="is_same_mailing" value="1" <?= (@$info->is_same_mailing==1)?'checked':''?> />Yes			</td>
        </tr>
        <tr class="odd">
			<td>Apt/Unit</td>
        	<td><input type="text" name="residential_apt" value="<?= @$info->residential_apt?>" /></td>
        	<td>&nbsp;</td>
        	<td>Street no.</td>
        	<td><input type="text" name="residential_street_no" value="<?= @$info->residential_street_no?>" /></td>
        	</tr>
        <tr class="even">
			<td>Street name</td>
        	<td><input type="text" name="residential_street_name" value="<?= @$info->residential_street_name?>" /></td>
        	<td>&nbsp;</td>
        	<td>City/Town</td>
        	<td><input type="text" name="residential_city" value="<?= @$info->residential_city?>" /></td>
        	</tr>
        <tr class="odd">
			<td>Country</td>
        	<td><select name="residential_country">
					<option></option>
					<option value="Afghanistan"<?= (@$info->residential_country=="Afghanistan")?" selected":""?>>Afghanistan</option>
					<option value="Albania"<?= (@$info->residential_country=="Albania")?" selected":""?>>Albania</option>
					<option value="Algeria"<?= (@$info->residential_country=="Algeria")?" selected":""?>>Algeria</option>
					<option value="Andorra"<?= (@$info->residential_country=="Andorra")?" selected":""?>>Andorra</option>
					<option value="Angola"<?= (@$info->residential_country=="Angola")?" selected":""?>>Angola</option>
					<option value="Anguilla"<?= (@$info->residential_country=="Anguilla")?" selected":""?>>Anguilla</option>
					<option value="Antigua And Barbuda"<?= (@$info->residential_country=="Antigua And Barbuda")?" selected":""?>>Antigua And Barbuda</option>
					<option value="Argentina"<?= (@$info->residential_country=="Argentina")?" selected":""?>>Argentina</option>
					<option value="Armenia"<?= (@$info->residential_country=="Armenia")?" selected":""?>>Armenia</option>
					<option value="Aruba"<?= (@$info->residential_country=="Aruba")?" selected":""?>>Aruba</option>
					<option value="Australia"<?= (@$info->residential_country=="Australia")?" selected":""?>>Australia</option>
					<option value="Austria"<?= (@$info->residential_country=="Austria")?" selected":""?>>Austria</option>
					<option value="Azerbaijan"<?= (@$info->residential_country=="Azerbaijan")?" selected":""?>>Azerbaijan</option>
					<option value="Azores"<?= (@$info->residential_country=="Azores")?" selected":""?>>Azores</option>
					<option value="Bahama Islands, The"<?= (@$info->residential_country=="Bahama Islands, The")?" selected":""?>>Bahama Islands, The</option>
					<option value="Bahrain"<?= (@$info->residential_country=="Bahrain")?" selected":""?>>Bahrain</option>
					<option value="Bangladesh"<?= (@$info->residential_country=="Bangladesh")?" selected":""?>>Bangladesh</option>
					<option value="Barbados"<?= (@$info->residential_country=="Barbados")?" selected":""?>>Barbados</option>
					<option value="Belarus"<?= (@$info->residential_country=="Belarus")?" selected":""?>>Belarus</option>
					<option value="Belgium"<?= (@$info->residential_country=="Belgium")?" selected":""?>>Belgium</option>
					<option value="Belize"<?= (@$info->residential_country=="Belize")?" selected":""?>>Belize</option>
					<option value="Benin, Peoples Republic Of"<?= (@$info->residential_country=="Benin, Peoples Republic Of")?" selected":""?>>Benin, Peoples Republic Of</option>
					<option value="Bermuda"<?= (@$info->residential_country=="Bermuda")?" selected":""?>>Bermuda</option>
					<option value="Bhutan"<?= (@$info->residential_country=="Bhutan")?" selected":""?>>Bhutan</option>
					<option value="Bolivia"<?= (@$info->residential_country=="Bolivia")?" selected":""?>>Bolivia</option>
					<option value="Bosnia-Hercepovina"<?= (@$info->residential_country=="Bosnia-Hercepovina")?" selected":""?>>Bosnia-Hercepovina</option>
					<option value="Botswana, Republic Of"<?= (@$info->residential_country=="Botswana, Republic Of")?" selected":""?>>Botswana, Republic Of</option>
					<option value="Brazil"<?= (@$info->residential_country=="Brazil")?" selected":""?>>Brazil</option>
					<option value="Brunei"<?= (@$info->residential_country=="Brunei")?" selected":""?>>Brunei</option>
					<option value="Bulgaria"<?= (@$info->residential_country=="Bulgaria")?" selected":""?>>Bulgaria</option>
					<option value="Burkina Faso"<?= (@$info->residential_country=="Burkina Faso")?" selected":""?>>Burkina Faso</option>
					<option value="Burundi"<?= (@$info->residential_country=="Burundi")?" selected":""?>>Burundi</option>
					<option value="Cambodia"<?= (@$info->residential_country=="Cambodia")?" selected":""?>>Cambodia</option>
					<option value="Cameroon, Federal Republic Of"<?= (@$info->residential_country=="Cameroon, Federal Republic Of")?" selected":""?>>Cameroon, Federal Republic Of</option>
					<option value="Canada"<?= (@$info->residential_country=="Canada")?" selected":""?>>Canada</option>
					<option value="Canary Islands"<?= (@$info->residential_country=="Canary Islands")?" selected":""?>>Canary Islands</option>
					<option value="Cape Verde Islands"<?= (@$info->residential_country=="Cape Verde Islands")?" selected":""?>>Cape Verde Islands</option>
					<option value="Cayman Islands"<?= (@$info->residential_country=="Cayman Islands")?" selected":""?>>Cayman Islands</option>
					<option value="Central Africa Republic"<?= (@$info->residential_country=="Central Africa Republic")?" selected":""?>>Central Africa Republic</option>
					<option value="Chad, Republic Of"<?= (@$info->residential_country=="Chad, Republic Of")?" selected":""?>>Chad, Republic Of</option>
					<option value="Channel Islands"<?= (@$info->residential_country=="Channel Islands")?" selected":""?>>Channel Islands</option>
					<option value="Chile"<?= (@$info->residential_country=="Chile")?" selected":""?>>Chile</option>
					<option value="China, People's Republic Of"<?= (@$info->residential_country=="China, People's Republic Of")?" selected":""?>>China, People's Republic Of</option>
					<option value="Colombia"<?= (@$info->residential_country=="Colombia")?" selected":""?>>Colombia</option>
					<option value="Comoros"<?= (@$info->residential_country=="Comoros")?" selected":""?>>Comoros</option>
					<option value="Congo, People's Republic Of"<?= (@$info->residential_country=="Congo, People's Republic Of")?" selected":""?>>Congo, People's Republic Of</option>
					<option value="Congo, Democratic Republic Of"<?= (@$info->residential_country=="Congo, Democratic Republic Of")?" selected":""?>>Congo, Democratic Republic Of</option>
					<option value="Cook Islands"<?= (@$info->residential_country=="Cook Islands")?" selected":""?>>Cook Islands</option>
					<option value="Costa Rica"<?= (@$info->residential_country=="Costa Rica")?" selected":""?>>Costa Rica</option>
					<option value="Croatia"<?= (@$info->residential_country=="Croatia")?" selected":""?>>Croatia</option>
					<option value="Cuba"<?= (@$info->residential_country=="Cuba")?" selected":""?>>Cuba</option>
					<option value="Cyprus"<?= (@$info->residential_country=="Cyprus")?" selected":""?>>Cyprus</option>
					<option value="Czech Republic"<?= (@$info->residential_country=="Czech Republic")?" selected":""?>>Czech Republic</option>
					<option value="Czechoslovakia"<?= (@$info->residential_country=="Czechoslovakia")?" selected":""?>>Czechoslovakia</option>
					<option value="Denmark"<?= (@$info->residential_country=="Denmark")?" selected":""?>>Denmark</option>
					<option value="Djibouti, Republic Of"<?= (@$info->residential_country=="Djibouti, Republic Of")?" selected":""?>>Djibouti, Republic Of</option>
					<option value="Dominica"<?= (@$info->residential_country=="Dominica")?" selected":""?>>Dominica</option>
					<option value="Dominican Republic"<?= (@$info->residential_country=="Dominican Republic")?" selected":""?>>Dominican Republic</option>
					<option value="East Timor"<?= (@$info->residential_country=="East Timor")?" selected":""?>>East Timor</option>
					<option value="Ecuador"<?= (@$info->residential_country=="Ecuador")?" selected":""?>>Ecuador</option>
					<option value="Egypt"<?= (@$info->residential_country=="Egypt")?" selected":""?>>Egypt</option>
					<option value="El Salvador"<?= (@$info->residential_country=="El Salvador")?" selected":""?>>El Salvador</option>
					<option value="England"<?= (@$info->residential_country=="England")?" selected":""?>>England</option>
					<option value="Eritrea"<?= (@$info->residential_country=="Eritrea")?" selected":""?>>Eritrea</option>
					<option value="Estonia"<?= (@$info->residential_country=="Estonia")?" selected":""?>>Estonia</option>
					<option value="Ethiopia"<?= (@$info->residential_country=="Ethiopia")?" selected":""?>>Ethiopia</option>
					<option value="Falkland Islands"<?= (@$info->residential_country=="Falkland Islands")?" selected":""?>>Falkland Islands</option>
					<option value="Federated States of Micronesia"<?= (@$info->residential_country=="Federated States of Micronesia")?" selected":""?>>Federated States of Micronesia</option>
					<option value="Fiji"<?= (@$info->residential_country=="Fiji")?" selected":""?>>Fiji</option>
					<option value="Finland"<?= (@$info->residential_country=="Finland")?" selected":""?>>Finland</option>
					<option value="France"<?= (@$info->residential_country=="France")?" selected":""?>>France</option>
					<option value="French Guiana"<?= (@$info->residential_country=="French Guiana")?" selected":""?>>French Guiana</option>
					<option value="French Polynesia"<?= (@$info->residential_country=="French Polynesia")?" selected":""?>>French Polynesia</option>
					<option value="Fyr Macedonia"<?= (@$info->residential_country=="Fyr Macedonia")?" selected":""?>>Fyr Macedonia</option>
					<option value="Gabon Republic"<?= (@$info->residential_country=="Gabon Republic")?" selected":""?>>Gabon Republic</option>
					<option value="Gambia"<?= (@$info->residential_country=="Gambia")?" selected":""?>>Gambia</option>
					<option value="Georgia"<?= (@$info->residential_country=="Georgia")?" selected":""?>>Georgia</option>
					<option value="Germany, Federal Rebpublic Of"<?= (@$info->residential_country=="Germany, Federal Rebpublic Of")?" selected":""?>>Germany, Federal Rebpublic Of</option>
					<option value="Ghana"<?= (@$info->residential_country=="Ghana")?" selected":""?>>Ghana</option>
					<option value="Gibraltar"<?= (@$info->residential_country=="Gibraltar")?" selected":""?>>Gibraltar</option>
					<option value="Greece"<?= (@$info->residential_country=="Greece")?" selected":""?>>Greece</option>
					<option value="Greenland"<?= (@$info->residential_country=="Greenland")?" selected":""?>>Greenland</option>
					<option value="Grenada"<?= (@$info->residential_country=="Grenada")?" selected":""?>>Grenada</option>
					<option value="Guadeloupe"<?= (@$info->residential_country=="Guadeloupe")?" selected":""?>>Guadeloupe</option>
					<option value="Guam"<?= (@$info->residential_country=="Guam")?" selected":""?>>Guam</option>
					<option value="Guatemala"<?= (@$info->residential_country=="Guatemala")?" selected":""?>>Guatemala</option>
					<option value="Guinea, Equatorial"<?= (@$info->residential_country=="Guinea, Equatorial")?" selected":""?>>Guinea, Equatorial</option>
					<option value="Guinea, Republic Of"<?= (@$info->residential_country=="Guinea, Republic Of")?" selected":""?>>Guinea, Republic Of</option>
					<option value="Guinea-Bissau"<?= (@$info->residential_country=="Guinea-Bissau")?" selected":""?>>Guinea-Bissau</option>
					<option value="Guyana"<?= (@$info->residential_country=="Guyana")?" selected":""?>>Guyana</option>
					<option value="Haiti"<?= (@$info->residential_country=="Haiti")?" selected":""?>>Haiti</option>
					<option value="Holy See"<?= (@$info->residential_country=="Holy See")?" selected":""?>>Holy See</option>
					<option value="Honduras"<?= (@$info->residential_country=="Honduras")?" selected":""?>>Honduras</option>
					<option value="Hong Kong"<?= (@$info->residential_country=="Hong Kong")?" selected":""?>>Hong Kong</option>
					<option value="Hong Kong Sar"<?= (@$info->residential_country=="Hong Kong Sar")?" selected":""?>>Hong Kong Sar</option>
					<option value="Hungary"<?= (@$info->residential_country=="Hungary")?" selected":""?>>Hungary</option>
					<option value="Iceland"<?= (@$info->residential_country=="Iceland")?" selected":""?>>Iceland</option>
					<option value="India"<?= (@$info->residential_country=="India")?" selected":""?>>India</option>
					<option value="Indonesia, Republic Of"<?= (@$info->residential_country=="Indonesia, Republic Of")?" selected":""?>>Indonesia, Republic Of</option>
					<option value="Iran"<?= (@$info->residential_country=="Iran")?" selected":""?>>Iran</option>
					<option value="Iraq"<?= (@$info->residential_country=="Iraq")?" selected":""?>>Iraq</option>
					<option value="Ireland, Republic Of"<?= (@$info->residential_country=="Ireland, Republic Of")?" selected":""?>>Ireland, Republic Of</option>
					<option value="Israel"<?= (@$info->residential_country=="Israel")?" selected":""?>>Israel</option>
					<option value="Italy"<?= (@$info->residential_country=="Italy")?" selected":""?>>Italy</option>
					<option value="Ivory Coast, Republic"<?= (@$info->residential_country=="Ivory Coast, Republic")?" selected":""?>>Ivory Coast, Republic</option>
					<option value="Jamaica"<?= (@$info->residential_country=="Jamaica")?" selected":""?>>Jamaica</option>
					<option value="Japan"<?= (@$info->residential_country=="Japan")?" selected":""?>>Japan</option>
					<option value="Jordan"<?= (@$info->residential_country=="Jordan")?" selected":""?>>Jordan</option>
					<option value="Kazakhstan"<?= (@$info->residential_country=="Kazakhstan")?" selected":""?>>Kazakhstan</option>
					<option value="Kenya"<?= (@$info->residential_country=="Kenya")?" selected":""?>>Kenya</option>
					<option value="Kiribati"<?= (@$info->residential_country=="Kiribati")?" selected":""?>>Kiribati</option>
					<option value="Korea (North)"<?= (@$info->residential_country=="Korea (North)")?" selected":""?>>Korea (North)</option>
					<option value="Korea, Republic Of"<?= (@$info->residential_country=="Korea, Republic Of")?" selected":""?>>Korea, Republic Of</option>
					<option value="Kuwait"<?= (@$info->residential_country=="Kuwait")?" selected":""?>>Kuwait</option>
					<option value="Kyrgyzstan"<?= (@$info->residential_country=="Kyrgyzstan")?" selected":""?>>Kyrgyzstan</option>
					<option value="Laos"<?= (@$info->residential_country=="Laos")?" selected":""?>>Laos</option>
					<option value="Latvia"<?= (@$info->residential_country=="Latvia")?" selected":""?>>Latvia</option>
					<option value="Lebanon"<?= (@$info->residential_country=="Lebanon")?" selected":""?>>Lebanon</option>
					<option value="Lesotho"<?= (@$info->residential_country=="Lesotho")?" selected":""?>>Lesotho</option>
					<option value="Liberia"<?= (@$info->residential_country=="Liberia")?" selected":""?>>Liberia</option>
					<option value="Libya"<?= (@$info->residential_country=="Libya")?" selected":""?>>Libya</option>
					<option value="Liechtenstein"<?= (@$info->residential_country=="Liechtenstein")?" selected":""?>>Liechtenstein</option>
					<option value="Lithuania"<?= (@$info->residential_country=="Lithuania")?" selected":""?>>Lithuania</option>
					<option value="Luxembourg"<?= (@$info->residential_country=="Luxembourg")?" selected":""?>>Luxembourg</option>
					<option value="Macao"<?= (@$info->residential_country=="Macao")?" selected":""?>>Macao</option>
					<option value="Macau SAR"<?= (@$info->residential_country=="Macau SAR")?" selected":""?>>Macau SAR</option>
					<option value="Madagascar"<?= (@$info->residential_country=="Madagascar")?" selected":""?>>Madagascar</option>
					<option value="Madeira"<?= (@$info->residential_country=="Madeira")?" selected":""?>>Madeira</option>
					<option value="Malawi"<?= (@$info->residential_country=="Malawi")?" selected":""?>>Malawi</option>
					<option value="Malaysia"<?= (@$info->residential_country=="Malaysia")?" selected":""?>>Malaysia</option>
					<option value="Maldives, Republic Of"<?= (@$info->residential_country=="Maldives, Republic Of")?" selected":""?>>Maldives, Republic Of</option>
					<option value="Mali, Republic Of"<?= (@$info->residential_country=="Mali, Republic Of")?" selected":""?>>Mali, Republic Of</option>
					<option value="Malta"<?= (@$info->residential_country=="Malta")?" selected":""?>>Malta</option>
					<option value="Marshall Islands"<?= (@$info->residential_country=="Marshall Islands")?" selected":""?>>Marshall Islands</option>
					<option value="Martinique"<?= (@$info->residential_country=="Martinique")?" selected":""?>>Martinique</option>
					<option value="Mauritania"<?= (@$info->residential_country=="Mauritania")?" selected":""?>>Mauritania</option>
					<option value="Mauritius"<?= (@$info->residential_country=="Mauritius")?" selected":""?>>Mauritius</option>
					<option value="Mayotte"<?= (@$info->residential_country=="Mayotte")?" selected":""?>>Mayotte</option>
					<option value="Mexico"<?= (@$info->residential_country=="Mexico")?" selected":""?>>Mexico</option>
					<option value="Moldova"<?= (@$info->residential_country=="Moldova")?" selected":""?>>Moldova</option>
					<option value="Monaco"<?= (@$info->residential_country=="Monaco")?" selected":""?>>Monaco</option>
					<option value="Mongolia, People's Republic Of"<?= (@$info->residential_country=="Mongolia, People's Republic Of")?" selected":""?>>Mongolia, People's Republic Of</option>
					<option value="Montenegro, Republic Of"<?= (@$info->residential_country=="Montenegro, Republic Of")?" selected":""?>>Montenegro, Republic Of</option>
					<option value="Montserrat"<?= (@$info->residential_country=="Montserrat")?" selected":""?>>Montserrat</option>
					<option value="Morocco"<?= (@$info->residential_country=="Morocco")?" selected":""?>>Morocco</option>
					<option value="Monzambique"<?= (@$info->residential_country=="Monzambique")?" selected":""?>>Monzambique</option>
					<option value="Myanmar (Burma)"<?= (@$info->residential_country=="Myanmar (Burma)")?" selected":""?>>Myanmar (Burma)</option>
					<option value="Namibia"<?= (@$info->residential_country=="Namibia")?" selected":""?>>Namibia</option>
					<option value="Nauru"<?= (@$info->residential_country=="Nauru")?" selected":""?>>Nauru</option>
					<option value="Nepal"<?= (@$info->residential_country=="Nepal")?" selected":""?>>Nepal</option>
					<option value="Netherlands Antilles, The"<?= (@$info->residential_country=="Netherlands Antilles, The")?" selected":""?>>Netherlands Antilles, The</option>
					<option value="Netherlands, The"<?= (@$info->residential_country=="Netherlands, The")?" selected":""?>>Netherlands, The</option>
					<option value="Nevis"<?= (@$info->residential_country=="Nevis")?" selected":""?>>Nevis</option>
					<option value="New Caledonia"<?= (@$info->residential_country=="New Caledonia")?" selected":""?>>New Caledonia</option>
					<option value="New Zealand"<?= (@$info->residential_country=="New Zealand")?" selected":""?>>New Zealand</option>
					<option value="Nicaragua"<?= (@$info->residential_country=="Nicaragua")?" selected":""?>>Nicaragua</option>
					<option value="Niger, Republic Of The"<?= (@$info->residential_country=="Niger, Republic Of The")?" selected":""?>>Niger, Republic Of The</option>
					<option value="Nigeria"<?= (@$info->residential_country=="Nigeria")?" selected":""?>>Nigeria</option>
					<option value="Northern Ireland"<?= (@$info->residential_country=="Northern Ireland")?" selected":""?>>Northern Ireland</option>
					<option value="Northern Mariana Islands"<?= (@$info->residential_country=="Northern Mariana Islands")?" selected":""?>>Northern Mariana Islands</option>
					<option value="Norway"<?= (@$info->residential_country=="Norway")?" selected":""?>>Norway</option>
					<option value="Oman"<?= (@$info->residential_country=="Oman")?" selected":""?>>Oman</option>
					<option value="Pakistan"<?= (@$info->residential_country=="Pakistan")?" selected":""?>>Pakistan</option>
					<option value="Palestinian Autho.Gaza/W Bank"<?= (@$info->residential_country=="Palestinian Autho.Gaza/W Bank")?" selected":""?>>Palestinian Autho.Gaza/W Bank</option>
					<option value="Panama, Republic Of"<?= (@$info->residential_country=="Panama, Republic Of")?" selected":""?>>Panama, Republic Of</option>
					<option value="Papua New Guinea"<?= (@$info->residential_country=="Papua New Guinea")?" selected":""?>>Papua New Guinea</option>
					<option value="Paraguay"<?= (@$info->residential_country=="Paraguay")?" selected":""?>>Paraguay</option>
					<option value="Peru"<?= (@$info->residential_country=="Peru")?" selected":""?>>Peru</option>
					<option value="Philippines"<?= (@$info->residential_country=="Philippines")?" selected":""?>>Philippines</option>
					<option value="Pitcairn Island"<?= (@$info->residential_country=="Pitcairn Island")?" selected":""?>>Pitcairn Island</option>
					<option value="poland"<?= (@$info->residential_country=="poland")?" selected":""?>>poland</option>
					<option value="Portugal"<?= (@$info->residential_country=="Portugal")?" selected":""?>>Portugal</option>
					<option value="Puerto Rico"<?= (@$info->residential_country=="Puerto Rico")?" selected":""?>>Puerto Rico</option>
					<option value="Qatar"<?= (@$info->residential_country=="Qatar")?" selected":""?>>Qatar</option>
					<option value="Republic Of Kosovo"<?= (@$info->residential_country=="Republic Of Kosovo")?" selected":""?>>Republic Of Kosovo</option>
					<option value="Republic Of Palau"<?= (@$info->residential_country=="Republic Of Palau")?" selected":""?>>Republic Of Palau</option>
					<option value="Reunion"<?= (@$info->residential_country=="Reunion")?" selected":""?>>Reunion</option>
					<option value="Romania"<?= (@$info->residential_country=="Romania")?" selected":""?>>Romania</option>
					<option value="Russia"<?= (@$info->residential_country=="Russia")?" selected":""?>>Russia</option>
					<option value="Rwanda"<?= (@$info->residential_country=="Rwanda")?" selected":""?>>Rwanda</option>
					<option value="Samoa, American"<?= (@$info->residential_country=="Samoa, American")?" selected":""?>>Samoa, American</option>
					<option value="Samoa, Western"<?= (@$info->residential_country=="Samoa, Western")?" selected":""?>>Samoa, Western</option>
					<option value="San Marino"<?= (@$info->residential_country=="San Marino")?" selected":""?>>San Marino</option>
					<option value="Sao Tome E Principe"<?= (@$info->residential_country=="Sao Tome E Principe")?" selected":""?>>Sao Tome E Principe</option>
					<option value="Saudi Arabia"<?= (@$info->residential_country=="Saudi Arabia")?" selected":""?>>Saudi Arabia</option>
					<option value="Scotland"<?= (@$info->residential_country=="Scotland")?" selected":""?>>Scotland</option>
					<option value="Senegal"<?= (@$info->residential_country=="Senegal")?" selected":""?>>Senegal</option>
					<option value="Serbia And Montenegro"<?= (@$info->residential_country=="Serbia And Montenegro")?" selected":""?>>Serbia And Montenegro</option>
					<option value="Serbia, Republic Of"<?= (@$info->residential_country=="Serbia, Republic Of")?" selected":""?>>Serbia, Republic Of</option>
					<option value="Seychelles"<?= (@$info->residential_country=="Seychelles")?" selected":""?>>Seychelles</option>
					<option value="Sierra Leone"<?= (@$info->residential_country=="Sierra Leone")?" selected":""?>>Sierra Leone</option>
					<option value="Singapore"<?= (@$info->residential_country=="Singapore")?" selected":""?>>Singapore</option>
					<option value="Slovak Republic"<?= (@$info->residential_country=="Slovak Republic")?" selected":""?>>Slovak Republic</option>
					<option value="Slovenia"<?= (@$info->residential_country=="Slovenia")?" selected":""?>>Slovenia</option>
					<option value="Solomons, The"<?= (@$info->residential_country=="Solomons, The")?" selected":""?>>Solomons, The</option>
					<option value="Somali Republic"<?= (@$info->residential_country=="Somali Republic")?" selected":""?>>Somali Republic</option>
					<option value="South Africa, Republic Of"<?= (@$info->residential_country=="South Africa, Republic Of")?" selected":""?>>South Africa, Republic Of</option>
					<option value="Southern Antarctic Territories"<?= (@$info->residential_country=="Southern Antarctic Territories")?" selected":""?>>Southern Antarctic Territories</option>
					<option value="Spain"<?= (@$info->residential_country=="Spain")?" selected":""?>>Spain</option>
					<option value="Sri Lanka"<?= (@$info->residential_country=="Sri Lanka")?" selected":""?>>Sri Lanka</option>
					<option value="St. Helena"<?= (@$info->residential_country=="St. Helena")?" selected":""?>>St. Helena</option>
					<option value="St. Kitts-Nevis"<?= (@$info->residential_country=="St. Kitts-Nevis")?" selected":""?>>St. Kitts-Nevis</option>
					<option value="St. Lucia"<?= (@$info->residential_country=="St. Lucia")?" selected":""?>>St. Lucia</option>
					<option value="St. Pierre Et Miquelon"<?= (@$info->residential_country=="St. Pierre Et Miquelon")?" selected":""?>>St. Pierre Et Miquelon</option>
					<option value="St. Vincent and the Grenadines"<?= (@$info->residential_country=="St. Vincent and the Grenadines")?" selected":""?>>St. Vincent and the Grenadines</option>
					<option value="Sudan, Democratic Republic Of"<?= (@$info->residential_country=="Sudan, Democratic Republic Of")?" selected":""?>>Sudan, Democratic Republic Of</option>
					<option value="Surinam"<?= (@$info->residential_country=="Surinam")?" selected":""?>>Surinam</option>
					<option value="Swaziland"<?= (@$info->residential_country=="Swaziland")?" selected":""?>>Swaziland</option>
					<option value="Sweden"<?= (@$info->residential_country=="Sweden")?" selected":""?>>Sweden</option>
					<option value="Switzerland"<?= (@$info->residential_country=="Switzerland")?" selected":""?>>Switzerland</option>
					<option value="Syria"<?= (@$info->residential_country=="Syria")?" selected":""?>>Syria</option>
					<option value="Tadjikistan"<?= (@$info->residential_country=="Tadjikistan")?" selected":""?>>Tadjikistan</option>
					<option value="Taiwan"<?= (@$info->residential_country=="Taiwan")?" selected":""?>>Taiwan</option>
					<option value="Tanzania, United Republic Of"<?= (@$info->residential_country=="Tanzania, United Republic Of")?" selected":""?>>Tanzania, United Republic Of</option>
					<option value="Thailand"<?= (@$info->residential_country=="Thailand")?" selected":""?>>Thailand</option>
					<option value="Tibet"<?= (@$info->residential_country=="Tibet")?" selected":""?>>Tibet</option>
					<option value="Togo, Republic Of"<?= (@$info->residential_country=="Togo, Republic Of")?" selected":""?>>Togo, Republic Of</option>
					<option value="Tonga"<?= (@$info->residential_country=="Tonga")?" selected":""?>>Tonga</option>
					<option value="Trinidad &amp; Tobago, Republic Of"<?= (@$info->residential_country=="Trinidad & Tobago, Republic Of")?" selected":""?>>Trinidad &amp; Tobago, Republic Of</option>
					<option value="Tunisia"<?= (@$info->residential_country=="Tunisia")?" selected":""?>>Tunisia</option>
					<option value="Turkey"<?= (@$info->residential_country=="Turkey")?" selected":""?>>Turkey</option>
					<option value="Turkmenistan"<?= (@$info->residential_country=="Turkmenistan")?" selected":""?>>Turkmenistan</option>
					<option value="Turks And Caicos Islands"<?= (@$info->residential_country=="Turks And Caicos Islands")?" selected":""?>>Turks And Caicos Islands</option>
					<option value="Tuvalu"<?= (@$info->residential_country=="Tuvalu")?" selected":""?>>Tuvalu</option>
					<option value="Uganda"<?= (@$info->residential_country=="Uganda")?" selected":""?>>Uganda</option>
					<option value="Ukraine"<?= (@$info->residential_country=="Ukraine")?" selected":""?>>Ukraine</option>
					<option value="Union Of Soviet Socialist Rep"<?= (@$info->residential_country=="Union Of Soviet Socialist Rep")?" selected":""?>>Union Of Soviet Socialist Rep</option>
					<option value="united Arab Emirates"<?= (@$info->residential_country=="united Arab Emirates")?" selected":""?>>united Arab Emirates</option>
					<option value="United States of America"<?= (@$info->residential_country=="United States of America")?" selected":""?>>United States of America</option>
					<option value="Unknown"<?= (@$info->residential_country=="Unknown")?" selected":""?>>Unknown</option>
					<option value="Uruguay"<?= (@$info->residential_country=="Uruguay")?" selected":""?>>Uruguay</option>
					<option value="Uzbekistan"<?= (@$info->residential_country=="Uzbekistan")?" selected":""?>>Uzbekistan</option>
					<option value="Vanuatu"<?= (@$info->residential_country=="Vanuatu")?" selected":""?>>Vanuatu</option>
					<option value="Venezuela"<?= (@$info->residential_country=="Venezuela")?" selected":""?>>Venezuela</option>
					<option value="Vietnam, Socialist Republic Of"<?= (@$info->residential_country=="Vietnam, Socialist Republic Of")?" selected":""?>>Vietnam, Socialist Republic Of</option>
					<option value="Virgin Islands, British"<?= (@$info->residential_country=="Virgin Islands, British")?" selected":""?>>Virgin Islands, British</option>
					<option value="Virgin Islands, U.s."<?= (@$info->residential_country=="Virgin Islands, U.s.")?" selected":""?>>Virgin Islands, U.s.</option>
					<option value="Wales"<?= (@$info->residential_country=="Wales")?" selected":""?>>Wales</option>
					<option value="Wallis And Futuna"<?= (@$info->residential_country=="Wallis And Futuna")?" selected":""?>>Wallis And Futuna</option>
					<option value="Western Sahara"<?= (@$info->residential_country=="Western Sahara")?" selected":""?>>Western Sahara</option>
					<option value="Yemen, Republic Of"<?= (@$info->residential_country=="Yemen, Republic Of")?" selected":""?>>Yemen, Republic Of</option>
					<option value="Yugoslavia"<?= (@$info->residential_country=="Yugoslavia")?" selected":""?>>Yugoslavia</option>
					<option value="Zambia"<?= (@$info->residential_country=="Zambia")?" selected":""?>>Zambia</option>
					<option value="Zimbabwe"<?= (@$info->residential_country=="Zimbabwe")?" selected":""?>>Zimbabwe</option>
				</select>			</td>
        	<td>&nbsp;</td>
        	<td>Province/State</td>
        	<td><input type="text" name="residential_province" value="<?= @$info->residential_province?>" /></td>
        	</tr>
        <tr class="even">
			<td>Postal code</td>
        	<td><input type="text" name="residential_postal" value="<?= @$info->residential_postal?>" /></td>
        	<td>&nbsp;</td>
        	<td>District</td>
        	<td><input type="text" name="residential_district" value="<?= @$info->residential_district?>" /></td>
        	</tr>
        
        <tr class="odd">
			<td colspan="5">3.Telephone no.</td>
        	</tr>
        <tr class="even">
			<td><input type="radio" name="is_na_tel" value="1" <?= (@$info->is_na_tel==1)?'checked':''?> />
				Canada/US
				<input type="radio" name="is_na_tel" value="0" <?= (@$info->is_na_tel==0)?'checked':''?> />
				Other </td>
        	<td colspan="4">Type
        		<select name="tel_type">
						<option></option>
						<option value="Residence"<?= (@$info->tel_type=="Residence")?" selected":""?>>Residence</option>
						<option value="Cellular"<?= (@$info->tel_type=="Cellular")?" selected":""?>>Cellular</option>
						<option value="Business"<?= (@$info->tel_type=="Business")?" selected":""?>>Business</option>
					</select>
        		Country Code
        		<input type="text" name="tel_code" value="<?= @$info->tel_code?>" style="width: 25px;" />
        		No.
        		<input type="text" name="tel_no" value="<?= @$info->tel_no?>" />
        		Ext.
        		<input type="text" name="tel_ext" value="<?= @$info->tel_ext?>" />			</td>
        	</tr>
        <tr class="odd">
			<td colspan="5">4.Alternate Telephone no.</td>
        	</tr>
        <tr class="even">
			<td><input type="radio" name="is_alter_na_tel" value="1" <?= (@$info->is_alter_na_tel==1)?'checked':''?> />
				Canada/US
				<input type="radio" name="is_alter_na_tel" value="0" <?= (@$info->is_alter_na_tel==0)?'checked':''?> />
				Other </td>
        	<td colspan="4">Type
        		<select name="alter_tel_type">
						<option></option>
						<option value="Residence"<?= (@$info->alter_tel_type=="Residence")?" selected":""?>>Residence</option>
						<option value="Cellular"<?= (@$info->alter_tel_type=="Cellular")?" selected":""?>>Cellular</option>
						<option value="Business"<?= (@$info->alter_tel_type=="Business")?" selected":""?>>Business</option>
					</select>
        		Country Code
        		<input type="text" name="alter_tel_code" value="<?= @$info->alter_tel_code?>" style="width: 25px;" />
        		No.
        		<input type="text" name="alter_tel_no" value="<?= @$info->alter_tel_no?>" />
        		Ext.
        		<input type="text" name="alter_tel_ext" value="<?= @$info->alter_tel_ext?>" /></td>
        	</tr>
        <tr class="odd">
			<td colspan="5">5.Fax no.</td>
        	</tr>
        <tr class="even">
			<td><input type="radio" name="is_na_fax" value="1" <?= (@$info->is_na_fax==1)?'checked':''?> />
				Canada/US
				<input type="radio" name="is_na_fax" value="0" <?= (@$info->is_na_fax==0)?'checked':''?> />
				Other </td>
        	<td colspan="4"> Country Code
        		<input type="text" name="fax_code" value="<?= @$info->fax_code?>" style="width: 25px;" />
        		No.
        		<input type="text" name="fax_no" value="<?= @$info->fax_no?>" />
        		Ext.
        		<input type="text" name="fax_ext" value="<?= @$info->fax_ext?>" /></td>
        	</tr>
        <tr class="odd">
			<td>6.E-mail address</td>
        	<td><input type="text" name="email" value="<?= @$info->email?>" id="email" /></td>
        	<td>&nbsp;</td>
        	<td>&nbsp;</td>
        	<td>&nbsp;</td>
        	</tr>
        

		<tr class="odd">
            <td colspan="5"><strong>DETAILS OF INTENDED STUDY IN CANADA</strong></td>
        </tr>
		
		<tr class="even">
            <td colspan="5">1 I have been accepted at the following educational institution</td>
        </tr>
		
		<tr class="odd">
            <td colspan="5">a) Name of School 
              <input type="text" name="study_school" value="<?= @$info->study_school?>" /><br />
              b) Complete address of school in Canada<br />
              Province 
              <select name="study_province">
                <option></option>
                <option value="AB"<?= (@$info->study_province=="AB")?" selected":""?>>AB</option>
                <option value="BC"<?= (@$info->study_province=="BC")?" selected":""?>>BC</option>
                <option value="MB"<?= (@$info->study_province=="MB")?" selected":""?>>MB</option>
                <option value="NB"<?= (@$info->study_province=="NB")?" selected":""?>>NB</option>
                <option value="NL"<?= (@$info->study_province=="NL")?" selected":""?>>NL</option>
                <option value="NS"<?= (@$info->study_province=="NS")?" selected":""?>>NS</option>
                <option value="NT"<?= (@$info->study_province=="NT")?" selected":""?>>NT</option>
                <option value="NU"<?= (@$info->study_province=="NU")?" selected":""?>>NU</option>
                <option value="ON"<?= (@$info->study_province=="ON")?" selected":""?>>ON</option>
                <option value="PE"<?= (@$info->study_province=="PE")?" selected":""?>>PE</option>
                <option value="QC"<?= (@$info->study_province=="QC")?" selected":""?>>QC</option>
                <option value="SK"<?= (@$info->study_province=="SK")?" selected":""?>>SK</option>
                <option value="YT"<?= (@$info->study_province=="YT")?" selected":""?>>YT</option>
              </select>              
               City/Town 
               <input type="text" name="study_city" value="<?= @$info->study_city?>" />              
                Address 
               <input name="study_address" type="text" value="<?= @$info->study_address?>" style="width:300px"/></td>
        </tr>
		
		<tr class="even">
            <td>2 My program of study will be: </td>
			<td colspan="4"><input name="study_program" type="text" value="<?= @$info->study_program?>" style="width:300px"/></td>
        </tr>
		
		<tr class="odd">
           <td>3 Duration of expected study</td>
			<td colspan="4">From
              <input type="text" name="study_from" value="<?= @$info->study_from?>" id="study_from" />
YYYY-MM-DD To
<input type="text" name="study_to" value="<?= @$info->study_to?>" id="study_to" />
YYYY-MM-DD</td>
		</tr>
		
		<tr class="even">
            <td>4 The cost of my studies will be:</td>
			<td colspan="4">Tuition
              <input type="text" name="study_tuition" value="<?= @$info->study_tuition?>" />
Room and board
<input type="text" name="study_room" value="<?= @$info->study_room?>" /> 
Other 
<input type="text" name="study_other" value="<?= @$info->study_other?>" /></td>
        </tr>
		
		<tr class="odd">
            <td>5 Funds available for my stay (CAD)</td>
			<td colspan="4"><input type="text" name="study_cad" value="<?= @$info->study_cad?>" /></td>
        </tr>
		
		<tr class="even">
            <td>6 a) My expenses in Canada will be paid by: </td>
            <td> <select name="study_pay">
                <option></option>
                <option value="Myself"<?= (@$info->study_pay=="Myself")?" selected":""?>>Myself</option>
                <option value="Parents"<?= (@$info->study_pay=="Parents")?" selected":""?>>Parents</option>
                <option value="Other"<?= (@$info->study_pay=="Other")?" selected":""?>>Other</option>
                </select></td>
			<td>&nbsp;</td>
			<td>b) Other</td>
			<td><input type="text" name="study_pay_other" value="<?= @$info->study_pay_other?>" /></td>
        </tr>
		
		<tr class="odd">
            <td colspan="5"><strong>EDUCATION</strong></td>
        </tr>
		
		<tr class="even">
            <td colspan="4">Have you had any post secondary education (including university, college or apprenticeship training)?</td>
			<td>
			<input type="radio" name="has_edu" value="0" <?= (@$info->has_edu==0)?'checked':''?> />No 
        	<input type="radio" name="has_edu" value="1" <?= (@$info->has_edu==1)?'checked':''?> />Yes			</td>
        </tr>
		
		<tr class="odd">
            <td>From<br />
            	YYYY<input type="text" name="edu_from_y" value="<?= @$info->edu_from_y?>" style="width:30px" /> MM<input type="text" name="edu_from_m" value="<?= @$info->edu_from_m?>" style="width:15px" /></td>
        	<td>Field of study<br />
			<input type="text" name="edu_field" value="<?= @$info->edu_field?>" />			</td>
        	<td>&nbsp;</td>
        	<td>School/Facility name<br />
			<input type="text" name="edu_school" value="<?= @$info->edu_school?>" />			</td>
			<td>&nbsp;</td>
        </tr>
		<tr class="odd">
            <td>To<br />
            	YYYY<input type="text" name="edu_to_y" value="<?= @$info->edu_to_y?>" style="width:30px" />
				MM<input type="text" name="edu_to_m" value="<?= @$info->edu_to_m?>" style="width:15px" /></td>
        	<td>City/Town
        		<br />
        		<input type="text" name="edu_city" value="<?= @$info->edu_city?>" /></td>
        	<td>&nbsp;</td>
        	<td>Country<br />
			<select name="edu_country">
<option></option>
<option value="Afghanistan"<?= (@$info->edu_country=="Afghanistan")?" selected":""?>>Afghanistan</option>
<option value="Albania"<?= (@$info->edu_country=="Albania")?" selected":""?>>Albania</option>
<option value="Algeria"<?= (@$info->edu_country=="Algeria")?" selected":""?>>Algeria</option>
<option value="Andorra"<?= (@$info->edu_country=="Andorra")?" selected":""?>>Andorra</option>
<option value="Angola"<?= (@$info->edu_country=="Angola")?" selected":""?>>Angola</option>
<option value="Anguilla"<?= (@$info->edu_country=="Anguilla")?" selected":""?>>Anguilla</option>
<option value="Antigua And Barbuda"<?= (@$info->edu_country=="Antigua And Barbuda")?" selected":""?>>Antigua And Barbuda</option>
<option value="Argentina"<?= (@$info->edu_country=="Argentina")?" selected":""?>>Argentina</option>
<option value="Armenia"<?= (@$info->edu_country=="Armenia")?" selected":""?>>Armenia</option>
<option value="Aruba"<?= (@$info->edu_country=="Aruba")?" selected":""?>>Aruba</option>
<option value="Australia"<?= (@$info->edu_country=="Australia")?" selected":""?>>Australia</option>
<option value="Austria"<?= (@$info->edu_country=="Austria")?" selected":""?>>Austria</option>
<option value="Azerbaijan"<?= (@$info->edu_country=="Azerbaijan")?" selected":""?>>Azerbaijan</option>
<option value="Azores"<?= (@$info->edu_country=="Azores")?" selected":""?>>Azores</option>
<option value="Bahama Islands, The"<?= (@$info->edu_country=="Bahama Islands, The")?" selected":""?>>Bahama Islands, The</option>
<option value="Bahrain"<?= (@$info->edu_country=="Bahrain")?" selected":""?>>Bahrain</option>
<option value="Bangladesh"<?= (@$info->edu_country=="Bangladesh")?" selected":""?>>Bangladesh</option>
<option value="Barbados"<?= (@$info->edu_country=="Barbados")?" selected":""?>>Barbados</option>
<option value="Belarus"<?= (@$info->edu_country=="Belarus")?" selected":""?>>Belarus</option>
<option value="Belgium"<?= (@$info->edu_country=="Belgium")?" selected":""?>>Belgium</option>
<option value="Belize"<?= (@$info->edu_country=="Belize")?" selected":""?>>Belize</option>
<option value="Benin, Peoples Republic Of"<?= (@$info->edu_country=="Benin, Peoples Republic Of")?" selected":""?>>Benin, Peoples Republic Of</option>
<option value="Bermuda"<?= (@$info->edu_country=="Bermuda")?" selected":""?>>Bermuda</option>
<option value="Bhutan"<?= (@$info->edu_country=="Bhutan")?" selected":""?>>Bhutan</option>
<option value="Bolivia"<?= (@$info->edu_country=="Bolivia")?" selected":""?>>Bolivia</option>
<option value="Bosnia-Hercepovina"<?= (@$info->edu_country=="Bosnia-Hercepovina")?" selected":""?>>Bosnia-Hercepovina</option>
<option value="Botswana, Republic Of"<?= (@$info->edu_country=="Botswana, Republic Of")?" selected":""?>>Botswana, Republic Of</option>
<option value="Brazil"<?= (@$info->edu_country=="Brazil")?" selected":""?>>Brazil</option>
<option value="Brunei"<?= (@$info->edu_country=="Brunei")?" selected":""?>>Brunei</option>
<option value="Bulgaria"<?= (@$info->edu_country=="Bulgaria")?" selected":""?>>Bulgaria</option>
<option value="Burkina Faso"<?= (@$info->edu_country=="Burkina Faso")?" selected":""?>>Burkina Faso</option>
<option value="Burundi"<?= (@$info->edu_country=="Burundi")?" selected":""?>>Burundi</option>
<option value="Cambodia"<?= (@$info->edu_country=="Cambodia")?" selected":""?>>Cambodia</option>
<option value="Cameroon, Federal Republic Of"<?= (@$info->edu_country=="Cameroon, Federal Republic Of")?" selected":""?>>Cameroon, Federal Republic Of</option>
<option value="Canada"<?= (@$info->edu_country=="Canada")?" selected":""?>>Canada</option>
<option value="Canary Islands"<?= (@$info->edu_country=="Canary Islands")?" selected":""?>>Canary Islands</option>
<option value="Cape Verde Islands"<?= (@$info->edu_country=="Cape Verde Islands")?" selected":""?>>Cape Verde Islands</option>
<option value="Cayman Islands"<?= (@$info->edu_country=="Cayman Islands")?" selected":""?>>Cayman Islands</option>
<option value="Central Africa Republic"<?= (@$info->edu_country=="Central Africa Republic")?" selected":""?>>Central Africa Republic</option>
<option value="Chad, Republic Of"<?= (@$info->edu_country=="Chad, Republic Of")?" selected":""?>>Chad, Republic Of</option>
<option value="Channel Islands"<?= (@$info->edu_country=="Channel Islands")?" selected":""?>>Channel Islands</option>
<option value="Chile"<?= (@$info->edu_country=="Chile")?" selected":""?>>Chile</option>
<option value="China, People's Republic Of"<?= (@$info->edu_country=="China, People's Republic Of")?" selected":""?>>China, People's Republic Of</option>
<option value="Colombia"<?= (@$info->edu_country=="Colombia")?" selected":""?>>Colombia</option>
<option value="Comoros"<?= (@$info->edu_country=="Comoros")?" selected":""?>>Comoros</option>
<option value="Congo, People's Republic Of"<?= (@$info->edu_country=="Congo, People's Republic Of")?" selected":""?>>Congo, People's Republic Of</option>
<option value="Congo, Democratic Republic Of"<?= (@$info->edu_country=="Congo, Democratic Republic Of")?" selected":""?>>Congo, Democratic Republic Of</option>
<option value="Cook Islands"<?= (@$info->edu_country=="Cook Islands")?" selected":""?>>Cook Islands</option>
<option value="Costa Rica"<?= (@$info->edu_country=="Costa Rica")?" selected":""?>>Costa Rica</option>
<option value="Croatia"<?= (@$info->edu_country=="Croatia")?" selected":""?>>Croatia</option>
<option value="Cuba"<?= (@$info->edu_country=="Cuba")?" selected":""?>>Cuba</option>
<option value="Cyprus"<?= (@$info->edu_country=="Cyprus")?" selected":""?>>Cyprus</option>
<option value="Czech Republic"<?= (@$info->edu_country=="Czech Republic")?" selected":""?>>Czech Republic</option>
<option value="Czechoslovakia"<?= (@$info->edu_country=="Czechoslovakia")?" selected":""?>>Czechoslovakia</option>
<option value="Denmark"<?= (@$info->edu_country=="Denmark")?" selected":""?>>Denmark</option>
<option value="Djibouti, Republic Of"<?= (@$info->edu_country=="Djibouti, Republic Of")?" selected":""?>>Djibouti, Republic Of</option>
<option value="Dominica"<?= (@$info->edu_country=="Dominica")?" selected":""?>>Dominica</option>
<option value="Dominican Republic"<?= (@$info->edu_country=="Dominican Republic")?" selected":""?>>Dominican Republic</option>
<option value="East Timor"<?= (@$info->edu_country=="East Timor")?" selected":""?>>East Timor</option>
<option value="Ecuador"<?= (@$info->edu_country=="Ecuador")?" selected":""?>>Ecuador</option>
<option value="Egypt"<?= (@$info->edu_country=="Egypt")?" selected":""?>>Egypt</option>
<option value="El Salvador"<?= (@$info->edu_country=="El Salvador")?" selected":""?>>El Salvador</option>
<option value="England"<?= (@$info->edu_country=="England")?" selected":""?>>England</option>
<option value="Eritrea"<?= (@$info->edu_country=="Eritrea")?" selected":""?>>Eritrea</option>
<option value="Estonia"<?= (@$info->edu_country=="Estonia")?" selected":""?>>Estonia</option>
<option value="Ethiopia"<?= (@$info->edu_country=="Ethiopia")?" selected":""?>>Ethiopia</option>
<option value="Falkland Islands"<?= (@$info->edu_country=="Falkland Islands")?" selected":""?>>Falkland Islands</option>
<option value="Federated States of Micronesia"<?= (@$info->edu_country=="Federated States of Micronesia")?" selected":""?>>Federated States of Micronesia</option>
<option value="Fiji"<?= (@$info->edu_country=="Fiji")?" selected":""?>>Fiji</option>
<option value="Finland"<?= (@$info->edu_country=="Finland")?" selected":""?>>Finland</option>
<option value="France"<?= (@$info->edu_country=="France")?" selected":""?>>France</option>
<option value="French Guiana"<?= (@$info->edu_country=="French Guiana")?" selected":""?>>French Guiana</option>
<option value="French Polynesia"<?= (@$info->edu_country=="French Polynesia")?" selected":""?>>French Polynesia</option>
<option value="Fyr Macedonia"<?= (@$info->edu_country=="Fyr Macedonia")?" selected":""?>>Fyr Macedonia</option>
<option value="Gabon Republic"<?= (@$info->edu_country=="Gabon Republic")?" selected":""?>>Gabon Republic</option>
<option value="Gambia"<?= (@$info->edu_country=="Gambia")?" selected":""?>>Gambia</option>
<option value="Georgia"<?= (@$info->edu_country=="Georgia")?" selected":""?>>Georgia</option>
<option value="Germany, Federal Rebpublic Of"<?= (@$info->edu_country=="Germany, Federal Rebpublic Of")?" selected":""?>>Germany, Federal Rebpublic Of</option>
<option value="Ghana"<?= (@$info->edu_country=="Ghana")?" selected":""?>>Ghana</option>
<option value="Gibraltar"<?= (@$info->edu_country=="Gibraltar")?" selected":""?>>Gibraltar</option>
<option value="Greece"<?= (@$info->edu_country=="Greece")?" selected":""?>>Greece</option>
<option value="Greenland"<?= (@$info->edu_country=="Greenland")?" selected":""?>>Greenland</option>
<option value="Grenada"<?= (@$info->edu_country=="Grenada")?" selected":""?>>Grenada</option>
<option value="Guadeloupe"<?= (@$info->edu_country=="Guadeloupe")?" selected":""?>>Guadeloupe</option>
<option value="Guam"<?= (@$info->edu_country=="Guam")?" selected":""?>>Guam</option>
<option value="Guatemala"<?= (@$info->edu_country=="Guatemala")?" selected":""?>>Guatemala</option>
<option value="Guinea, Equatorial"<?= (@$info->edu_country=="Guinea, Equatorial")?" selected":""?>>Guinea, Equatorial</option>
<option value="Guinea, Republic Of"<?= (@$info->edu_country=="Guinea, Republic Of")?" selected":""?>>Guinea, Republic Of</option>
<option value="Guinea-Bissau"<?= (@$info->edu_country=="Guinea-Bissau")?" selected":""?>>Guinea-Bissau</option>
<option value="Guyana"<?= (@$info->edu_country=="Guyana")?" selected":""?>>Guyana</option>
<option value="Haiti"<?= (@$info->edu_country=="Haiti")?" selected":""?>>Haiti</option>
<option value="Holy See"<?= (@$info->edu_country=="Holy See")?" selected":""?>>Holy See</option>
<option value="Honduras"<?= (@$info->edu_country=="Honduras")?" selected":""?>>Honduras</option>
<option value="Hong Kong"<?= (@$info->edu_country=="Hong Kong")?" selected":""?>>Hong Kong</option>
<option value="Hong Kong Sar"<?= (@$info->edu_country=="Hong Kong Sar")?" selected":""?>>Hong Kong Sar</option>
<option value="Hungary"<?= (@$info->edu_country=="Hungary")?" selected":""?>>Hungary</option>
<option value="Iceland"<?= (@$info->edu_country=="Iceland")?" selected":""?>>Iceland</option>
<option value="India"<?= (@$info->edu_country=="India")?" selected":""?>>India</option>
<option value="Indonesia, Republic Of"<?= (@$info->edu_country=="Indonesia, Republic Of")?" selected":""?>>Indonesia, Republic Of</option>
<option value="Iran"<?= (@$info->edu_country=="Iran")?" selected":""?>>Iran</option>
<option value="Iraq"<?= (@$info->edu_country=="Iraq")?" selected":""?>>Iraq</option>
<option value="Ireland, Republic Of"<?= (@$info->edu_country=="Ireland, Republic Of")?" selected":""?>>Ireland, Republic Of</option>
<option value="Israel"<?= (@$info->edu_country=="Israel")?" selected":""?>>Israel</option>
<option value="Italy"<?= (@$info->edu_country=="Italy")?" selected":""?>>Italy</option>
<option value="Ivory Coast, Republic"<?= (@$info->edu_country=="Ivory Coast, Republic")?" selected":""?>>Ivory Coast, Republic</option>
<option value="Jamaica"<?= (@$info->edu_country=="Jamaica")?" selected":""?>>Jamaica</option>
<option value="Japan"<?= (@$info->edu_country=="Japan")?" selected":""?>>Japan</option>
<option value="Jordan"<?= (@$info->edu_country=="Jordan")?" selected":""?>>Jordan</option>
<option value="Kazakhstan"<?= (@$info->edu_country=="Kazakhstan")?" selected":""?>>Kazakhstan</option>
<option value="Kenya"<?= (@$info->edu_country=="Kenya")?" selected":""?>>Kenya</option>
<option value="Kiribati"<?= (@$info->edu_country=="Kiribati")?" selected":""?>>Kiribati</option>
<option value="Korea (North)"<?= (@$info->edu_country=="Korea (North)")?" selected":""?>>Korea (North)</option>
<option value="Korea, Republic Of"<?= (@$info->edu_country=="Korea, Republic Of")?" selected":""?>>Korea, Republic Of</option>
<option value="Kuwait"<?= (@$info->edu_country=="Kuwait")?" selected":""?>>Kuwait</option>
<option value="Kyrgyzstan"<?= (@$info->edu_country=="Kyrgyzstan")?" selected":""?>>Kyrgyzstan</option>
<option value="Laos"<?= (@$info->edu_country=="Laos")?" selected":""?>>Laos</option>
<option value="Latvia"<?= (@$info->edu_country=="Latvia")?" selected":""?>>Latvia</option>
<option value="Lebanon"<?= (@$info->edu_country=="Lebanon")?" selected":""?>>Lebanon</option>
<option value="Lesotho"<?= (@$info->edu_country=="Lesotho")?" selected":""?>>Lesotho</option>
<option value="Liberia"<?= (@$info->edu_country=="Liberia")?" selected":""?>>Liberia</option>
<option value="Libya"<?= (@$info->edu_country=="Libya")?" selected":""?>>Libya</option>
<option value="Liechtenstein"<?= (@$info->edu_country=="Liechtenstein")?" selected":""?>>Liechtenstein</option>
<option value="Lithuania"<?= (@$info->edu_country=="Lithuania")?" selected":""?>>Lithuania</option>
<option value="Luxembourg"<?= (@$info->edu_country=="Luxembourg")?" selected":""?>>Luxembourg</option>
<option value="Macao"<?= (@$info->edu_country=="Macao")?" selected":""?>>Macao</option>
<option value="Macau SAR"<?= (@$info->edu_country=="Macau SAR")?" selected":""?>>Macau SAR</option>
<option value="Madagascar"<?= (@$info->edu_country=="Madagascar")?" selected":""?>>Madagascar</option>
<option value="Madeira"<?= (@$info->edu_country=="Madeira")?" selected":""?>>Madeira</option>
<option value="Malawi"<?= (@$info->edu_country=="Malawi")?" selected":""?>>Malawi</option>
<option value="Malaysia"<?= (@$info->edu_country=="Malaysia")?" selected":""?>>Malaysia</option>
<option value="Maldives, Republic Of"<?= (@$info->edu_country=="Maldives, Republic Of")?" selected":""?>>Maldives, Republic Of</option>
<option value="Mali, Republic Of"<?= (@$info->edu_country=="Mali, Republic Of")?" selected":""?>>Mali, Republic Of</option>
<option value="Malta"<?= (@$info->edu_country=="Malta")?" selected":""?>>Malta</option>
<option value="Marshall Islands"<?= (@$info->edu_country=="Marshall Islands")?" selected":""?>>Marshall Islands</option>
<option value="Martinique"<?= (@$info->edu_country=="Martinique")?" selected":""?>>Martinique</option>
<option value="Mauritania"<?= (@$info->edu_country=="Mauritania")?" selected":""?>>Mauritania</option>
<option value="Mauritius"<?= (@$info->edu_country=="Mauritius")?" selected":""?>>Mauritius</option>
<option value="Mayotte"<?= (@$info->edu_country=="Mayotte")?" selected":""?>>Mayotte</option>
<option value="Mexico"<?= (@$info->edu_country=="Mexico")?" selected":""?>>Mexico</option>
<option value="Moldova"<?= (@$info->edu_country=="Moldova")?" selected":""?>>Moldova</option>
<option value="Monaco"<?= (@$info->edu_country=="Monaco")?" selected":""?>>Monaco</option>
<option value="Mongolia, People's Republic Of"<?= (@$info->edu_country=="Mongolia, People's Republic Of")?" selected":""?>>Mongolia, People's Republic Of</option>
<option value="Montenegro, Republic Of"<?= (@$info->edu_country=="Montenegro, Republic Of")?" selected":""?>>Montenegro, Republic Of</option>
<option value="Montserrat"<?= (@$info->edu_country=="Montserrat")?" selected":""?>>Montserrat</option>
<option value="Morocco"<?= (@$info->edu_country=="Morocco")?" selected":""?>>Morocco</option>
<option value="Monzambique"<?= (@$info->edu_country=="Monzambique")?" selected":""?>>Monzambique</option>
<option value="Myanmar (Burma)"<?= (@$info->edu_country=="Myanmar (Burma)")?" selected":""?>>Myanmar (Burma)</option>
<option value="Namibia"<?= (@$info->edu_country=="Namibia")?" selected":""?>>Namibia</option>
<option value="Nauru"<?= (@$info->edu_country=="Nauru")?" selected":""?>>Nauru</option>
<option value="Nepal"<?= (@$info->edu_country=="Nepal")?" selected":""?>>Nepal</option>
<option value="Netherlands Antilles, The"<?= (@$info->edu_country=="Netherlands Antilles, The")?" selected":""?>>Netherlands Antilles, The</option>
<option value="Netherlands, The"<?= (@$info->edu_country=="Netherlands, The")?" selected":""?>>Netherlands, The</option>
<option value="Nevis"<?= (@$info->edu_country=="Nevis")?" selected":""?>>Nevis</option>
<option value="New Caledonia"<?= (@$info->edu_country=="New Caledonia")?" selected":""?>>New Caledonia</option>
<option value="New Zealand"<?= (@$info->edu_country=="New Zealand")?" selected":""?>>New Zealand</option>
<option value="Nicaragua"<?= (@$info->edu_country=="Nicaragua")?" selected":""?>>Nicaragua</option>
<option value="Niger, Republic Of The"<?= (@$info->edu_country=="Niger, Republic Of The")?" selected":""?>>Niger, Republic Of The</option>
<option value="Nigeria"<?= (@$info->edu_country=="Nigeria")?" selected":""?>>Nigeria</option>
<option value="Northern Ireland"<?= (@$info->edu_country=="Northern Ireland")?" selected":""?>>Northern Ireland</option>
<option value="Northern Mariana Islands"<?= (@$info->edu_country=="Northern Mariana Islands")?" selected":""?>>Northern Mariana Islands</option>
<option value="Norway"<?= (@$info->edu_country=="Norway")?" selected":""?>>Norway</option>
<option value="Oman"<?= (@$info->edu_country=="Oman")?" selected":""?>>Oman</option>
<option value="Pakistan"<?= (@$info->edu_country=="Pakistan")?" selected":""?>>Pakistan</option>
<option value="Palestinian Autho.Gaza/W Bank"<?= (@$info->edu_country=="Palestinian Autho.Gaza/W Bank")?" selected":""?>>Palestinian Autho.Gaza/W Bank</option>
<option value="Panama, Republic Of"<?= (@$info->edu_country=="Panama, Republic Of")?" selected":""?>>Panama, Republic Of</option>
<option value="Papua New Guinea"<?= (@$info->edu_country=="Papua New Guinea")?" selected":""?>>Papua New Guinea</option>
<option value="Paraguay"<?= (@$info->edu_country=="Paraguay")?" selected":""?>>Paraguay</option>
<option value="Peru"<?= (@$info->edu_country=="Peru")?" selected":""?>>Peru</option>
<option value="Philippines"<?= (@$info->edu_country=="Philippines")?" selected":""?>>Philippines</option>
<option value="Pitcairn Island"<?= (@$info->edu_country=="Pitcairn Island")?" selected":""?>>Pitcairn Island</option>
<option value="poland"<?= (@$info->edu_country=="poland")?" selected":""?>>poland</option>
<option value="Portugal"<?= (@$info->edu_country=="Portugal")?" selected":""?>>Portugal</option>
<option value="Puerto Rico"<?= (@$info->edu_country=="Puerto Rico")?" selected":""?>>Puerto Rico</option>
<option value="Qatar"<?= (@$info->edu_country=="Qatar")?" selected":""?>>Qatar</option>
<option value="Republic Of Kosovo"<?= (@$info->edu_country=="Republic Of Kosovo")?" selected":""?>>Republic Of Kosovo</option>
<option value="Republic Of Palau"<?= (@$info->edu_country=="Republic Of Palau")?" selected":""?>>Republic Of Palau</option>
<option value="Reunion"<?= (@$info->edu_country=="Reunion")?" selected":""?>>Reunion</option>
<option value="Romania"<?= (@$info->edu_country=="Romania")?" selected":""?>>Romania</option>
<option value="Russia"<?= (@$info->edu_country=="Russia")?" selected":""?>>Russia</option>
<option value="Rwanda"<?= (@$info->edu_country=="Rwanda")?" selected":""?>>Rwanda</option>
<option value="Samoa, American"<?= (@$info->edu_country=="Samoa, American")?" selected":""?>>Samoa, American</option>
<option value="Samoa, Western"<?= (@$info->edu_country=="Samoa, Western")?" selected":""?>>Samoa, Western</option>
<option value="San Marino"<?= (@$info->edu_country=="San Marino")?" selected":""?>>San Marino</option>
<option value="Sao Tome E Principe"<?= (@$info->edu_country=="Sao Tome E Principe")?" selected":""?>>Sao Tome E Principe</option>
<option value="Saudi Arabia"<?= (@$info->edu_country=="Saudi Arabia")?" selected":""?>>Saudi Arabia</option>
<option value="Scotland"<?= (@$info->edu_country=="Scotland")?" selected":""?>>Scotland</option>
<option value="Senegal"<?= (@$info->edu_country=="Senegal")?" selected":""?>>Senegal</option>
<option value="Serbia And Montenegro"<?= (@$info->edu_country=="Serbia And Montenegro")?" selected":""?>>Serbia And Montenegro</option>
<option value="Serbia, Republic Of"<?= (@$info->edu_country=="Serbia, Republic Of")?" selected":""?>>Serbia, Republic Of</option>
<option value="Seychelles"<?= (@$info->edu_country=="Seychelles")?" selected":""?>>Seychelles</option>
<option value="Sierra Leone"<?= (@$info->edu_country=="Sierra Leone")?" selected":""?>>Sierra Leone</option>
<option value="Singapore"<?= (@$info->edu_country=="Singapore")?" selected":""?>>Singapore</option>
<option value="Slovak Republic"<?= (@$info->edu_country=="Slovak Republic")?" selected":""?>>Slovak Republic</option>
<option value="Slovenia"<?= (@$info->edu_country=="Slovenia")?" selected":""?>>Slovenia</option>
<option value="Solomons, The"<?= (@$info->edu_country=="Solomons, The")?" selected":""?>>Solomons, The</option>
<option value="Somali Republic"<?= (@$info->edu_country=="Somali Republic")?" selected":""?>>Somali Republic</option>
<option value="South Africa, Republic Of"<?= (@$info->edu_country=="South Africa, Republic Of")?" selected":""?>>South Africa, Republic Of</option>
<option value="Southern Antarctic Territories"<?= (@$info->edu_country=="Southern Antarctic Territories")?" selected":""?>>Southern Antarctic Territories</option>
<option value="Spain"<?= (@$info->edu_country=="Spain")?" selected":""?>>Spain</option>
<option value="Sri Lanka"<?= (@$info->edu_country=="Sri Lanka")?" selected":""?>>Sri Lanka</option>
<option value="St. Helena"<?= (@$info->edu_country=="St. Helena")?" selected":""?>>St. Helena</option>
<option value="St. Kitts-Nevis"<?= (@$info->edu_country=="St. Kitts-Nevis")?" selected":""?>>St. Kitts-Nevis</option>
<option value="St. Lucia"<?= (@$info->edu_country=="St. Lucia")?" selected":""?>>St. Lucia</option>
<option value="St. Pierre Et Miquelon"<?= (@$info->edu_country=="St. Pierre Et Miquelon")?" selected":""?>>St. Pierre Et Miquelon</option>
<option value="St. Vincent and the Grenadines"<?= (@$info->edu_country=="St. Vincent and the Grenadines")?" selected":""?>>St. Vincent and the Grenadines</option>
<option value="Sudan, Democratic Republic Of"<?= (@$info->edu_country=="Sudan, Democratic Republic Of")?" selected":""?>>Sudan, Democratic Republic Of</option>
<option value="Surinam"<?= (@$info->edu_country=="Surinam")?" selected":""?>>Surinam</option>
<option value="Swaziland"<?= (@$info->edu_country=="Swaziland")?" selected":""?>>Swaziland</option>
<option value="Sweden"<?= (@$info->edu_country=="Sweden")?" selected":""?>>Sweden</option>
<option value="Switzerland"<?= (@$info->edu_country=="Switzerland")?" selected":""?>>Switzerland</option>
<option value="Syria"<?= (@$info->edu_country=="Syria")?" selected":""?>>Syria</option>
<option value="Tadjikistan"<?= (@$info->edu_country=="Tadjikistan")?" selected":""?>>Tadjikistan</option>
<option value="Taiwan"<?= (@$info->edu_country=="Taiwan")?" selected":""?>>Taiwan</option>
<option value="Tanzania, United Republic Of"<?= (@$info->edu_country=="Tanzania, United Republic Of")?" selected":""?>>Tanzania, United Republic Of</option>
<option value="Thailand"<?= (@$info->edu_country=="Thailand")?" selected":""?>>Thailand</option>
<option value="Tibet"<?= (@$info->edu_country=="Tibet")?" selected":""?>>Tibet</option>
<option value="Togo, Republic Of"<?= (@$info->edu_country=="Togo, Republic Of")?" selected":""?>>Togo, Republic Of</option>
<option value="Tonga"<?= (@$info->edu_country=="Tonga")?" selected":""?>>Tonga</option>
<option value="Trinidad & Tobago, Republic Of"<?= (@$info->edu_country=="Trinidad & Tobago, Republic Of")?" selected":""?>>Trinidad & Tobago, Republic Of</option>
<option value="Tunisia"<?= (@$info->edu_country=="Tunisia")?" selected":""?>>Tunisia</option>
<option value="Turkey"<?= (@$info->edu_country=="Turkey")?" selected":""?>>Turkey</option>
<option value="Turkmenistan"<?= (@$info->edu_country=="Turkmenistan")?" selected":""?>>Turkmenistan</option>
<option value="Turks And Caicos Islands"<?= (@$info->edu_country=="Turks And Caicos Islands")?" selected":""?>>Turks And Caicos Islands</option>
<option value="Tuvalu"<?= (@$info->edu_country=="Tuvalu")?" selected":""?>>Tuvalu</option>
<option value="Uganda"<?= (@$info->edu_country=="Uganda")?" selected":""?>>Uganda</option>
<option value="Ukraine"<?= (@$info->edu_country=="Ukraine")?" selected":""?>>Ukraine</option>
<option value="Union Of Soviet Socialist Rep"<?= (@$info->edu_country=="Union Of Soviet Socialist Rep")?" selected":""?>>Union Of Soviet Socialist Rep</option>
<option value="united Arab Emirates"<?= (@$info->edu_country=="united Arab Emirates")?" selected":""?>>united Arab Emirates</option>
<option value="United States of America"<?= (@$info->edu_country=="United States of America")?" selected":""?>>United States of America</option>
<option value="Unknown"<?= (@$info->edu_country=="Unknown")?" selected":""?>>Unknown</option>
<option value="Uruguay"<?= (@$info->edu_country=="Uruguay")?" selected":""?>>Uruguay</option>
<option value="Uzbekistan"<?= (@$info->edu_country=="Uzbekistan")?" selected":""?>>Uzbekistan</option>
<option value="Vanuatu"<?= (@$info->edu_country=="Vanuatu")?" selected":""?>>Vanuatu</option>
<option value="Venezuela"<?= (@$info->edu_country=="Venezuela")?" selected":""?>>Venezuela</option>
<option value="Vietnam, Socialist Republic Of"<?= (@$info->edu_country=="Vietnam, Socialist Republic Of")?" selected":""?>>Vietnam, Socialist Republic Of</option>
<option value="Virgin Islands, British"<?= (@$info->edu_country=="Virgin Islands, British")?" selected":""?>>Virgin Islands, British</option>
<option value="Virgin Islands, U.s."<?= (@$info->edu_country=="Virgin Islands, U.s.")?" selected":""?>>Virgin Islands, U.s.</option>
<option value="Wales"<?= (@$info->edu_country=="Wales")?" selected":""?>>Wales</option>
<option value="Wallis And Futuna"<?= (@$info->edu_country=="Wallis And Futuna")?" selected":""?>>Wallis And Futuna</option>
<option value="Western Sahara"<?= (@$info->edu_country=="Western Sahara")?" selected":""?>>Western Sahara</option>
<option value="Yemen, Republic Of"<?= (@$info->edu_country=="Yemen, Republic Of")?" selected":""?>>Yemen, Republic Of</option>
<option value="Yugoslavia"<?= (@$info->edu_country=="Yugoslavia")?" selected":""?>>Yugoslavia</option>
<option value="Zambia"<?= (@$info->edu_country=="Zambia")?" selected":""?>>Zambia</option>
<option value="Zimbabwe"<?= (@$info->edu_country=="Zimbabwe")?" selected":""?>>Zimbabwe</option>
			</select>			</td>
			<td>Province/State
				<br />
				<input type="text" name="edu_province" value="<?= @$info->edu_province?>" /></td>
        </tr>
		
		<tr class="even">
            <td colspan="5"><strong>EMPLOYMENT</strong></td>
        </tr>
		
		<tr class="odd">
            <td colspan="5">Give details of your employment for the past 10 years. If retired, not working, or studying, please indicate. If you are retired, provide the 10 years before your retirement.</td>
        </tr>
		
		<tr class="even">
            <td>1)From<br />
            	YYYY
            	<input type="text" name="emp_from_y1" value="<?= @$info->emp_from_y1?>" style="width:30px" />
MM
<input type="text" name="emp_from_m1" value="<?= @$info->emp_from_m1?>" style="width:15px" /></td>
        	<td>Current Activity/Occupation
        		<br />
        		<input type="text" name="emp_occup1" value="<?= @$info->emp_occup1?>" /></td>
        	<td>&nbsp;</td>
        	<td>Company/Employer/Facility name
        		<br />
        		<input type="text" name="emp_company1" value="<?= @$info->emp_company1?>" /></td>
			<td>&nbsp;</td>
        </tr>
        <tr class="even">
            <td>To<br />
            	YYYY
            	<input type="text" name="emp_to_y1" value="<?= @$info->emp_to_y1?>" style="width:30px" />
MM
<input type="text" name="emp_to_m1" value="<?= @$info->emp_to_m1?>" style="width:15px" /></td>
        	<td>City/Town
        		<br />
        		<input type="text" name="emp_city1" value="<?= @$info->emp_city1?>" /></td>
        	<td>&nbsp;</td>
        	<td>Country<br />
			<select name="emp_country1">
<option></option>
<option value="Afghanistan"<?= (@$info->emp_country1=="Afghanistan")?" selected":""?>>Afghanistan</option>
<option value="Albania"<?= (@$info->emp_country1=="Albania")?" selected":""?>>Albania</option>
<option value="Algeria"<?= (@$info->emp_country1=="Algeria")?" selected":""?>>Algeria</option>
<option value="Andorra"<?= (@$info->emp_country1=="Andorra")?" selected":""?>>Andorra</option>
<option value="Angola"<?= (@$info->emp_country1=="Angola")?" selected":""?>>Angola</option>
<option value="Anguilla"<?= (@$info->emp_country1=="Anguilla")?" selected":""?>>Anguilla</option>
<option value="Antigua And Barbuda"<?= (@$info->emp_country1=="Antigua And Barbuda")?" selected":""?>>Antigua And Barbuda</option>
<option value="Argentina"<?= (@$info->emp_country1=="Argentina")?" selected":""?>>Argentina</option>
<option value="Armenia"<?= (@$info->emp_country1=="Armenia")?" selected":""?>>Armenia</option>
<option value="Aruba"<?= (@$info->emp_country1=="Aruba")?" selected":""?>>Aruba</option>
<option value="Australia"<?= (@$info->emp_country1=="Australia")?" selected":""?>>Australia</option>
<option value="Austria"<?= (@$info->emp_country1=="Austria")?" selected":""?>>Austria</option>
<option value="Azerbaijan"<?= (@$info->emp_country1=="Azerbaijan")?" selected":""?>>Azerbaijan</option>
<option value="Azores"<?= (@$info->emp_country1=="Azores")?" selected":""?>>Azores</option>
<option value="Bahama Islands, The"<?= (@$info->emp_country1=="Bahama Islands, The")?" selected":""?>>Bahama Islands, The</option>
<option value="Bahrain"<?= (@$info->emp_country1=="Bahrain")?" selected":""?>>Bahrain</option>
<option value="Bangladesh"<?= (@$info->emp_country1=="Bangladesh")?" selected":""?>>Bangladesh</option>
<option value="Barbados"<?= (@$info->emp_country1=="Barbados")?" selected":""?>>Barbados</option>
<option value="Belarus"<?= (@$info->emp_country1=="Belarus")?" selected":""?>>Belarus</option>
<option value="Belgium"<?= (@$info->emp_country1=="Belgium")?" selected":""?>>Belgium</option>
<option value="Belize"<?= (@$info->emp_country1=="Belize")?" selected":""?>>Belize</option>
<option value="Benin, Peoples Republic Of"<?= (@$info->emp_country1=="Benin, Peoples Republic Of")?" selected":""?>>Benin, Peoples Republic Of</option>
<option value="Bermuda"<?= (@$info->emp_country1=="Bermuda")?" selected":""?>>Bermuda</option>
<option value="Bhutan"<?= (@$info->emp_country1=="Bhutan")?" selected":""?>>Bhutan</option>
<option value="Bolivia"<?= (@$info->emp_country1=="Bolivia")?" selected":""?>>Bolivia</option>
<option value="Bosnia-Hercepovina"<?= (@$info->emp_country1=="Bosnia-Hercepovina")?" selected":""?>>Bosnia-Hercepovina</option>
<option value="Botswana, Republic Of"<?= (@$info->emp_country1=="Botswana, Republic Of")?" selected":""?>>Botswana, Republic Of</option>
<option value="Brazil"<?= (@$info->emp_country1=="Brazil")?" selected":""?>>Brazil</option>
<option value="Brunei"<?= (@$info->emp_country1=="Brunei")?" selected":""?>>Brunei</option>
<option value="Bulgaria"<?= (@$info->emp_country1=="Bulgaria")?" selected":""?>>Bulgaria</option>
<option value="Burkina Faso"<?= (@$info->emp_country1=="Burkina Faso")?" selected":""?>>Burkina Faso</option>
<option value="Burundi"<?= (@$info->emp_country1=="Burundi")?" selected":""?>>Burundi</option>
<option value="Cambodia"<?= (@$info->emp_country1=="Cambodia")?" selected":""?>>Cambodia</option>
<option value="Cameroon, Federal Republic Of"<?= (@$info->emp_country1=="Cameroon, Federal Republic Of")?" selected":""?>>Cameroon, Federal Republic Of</option>
<option value="Canada"<?= (@$info->emp_country1=="Canada")?" selected":""?>>Canada</option>
<option value="Canary Islands"<?= (@$info->emp_country1=="Canary Islands")?" selected":""?>>Canary Islands</option>
<option value="Cape Verde Islands"<?= (@$info->emp_country1=="Cape Verde Islands")?" selected":""?>>Cape Verde Islands</option>
<option value="Cayman Islands"<?= (@$info->emp_country1=="Cayman Islands")?" selected":""?>>Cayman Islands</option>
<option value="Central Africa Republic"<?= (@$info->emp_country1=="Central Africa Republic")?" selected":""?>>Central Africa Republic</option>
<option value="Chad, Republic Of"<?= (@$info->emp_country1=="Chad, Republic Of")?" selected":""?>>Chad, Republic Of</option>
<option value="Channel Islands"<?= (@$info->emp_country1=="Channel Islands")?" selected":""?>>Channel Islands</option>
<option value="Chile"<?= (@$info->emp_country1=="Chile")?" selected":""?>>Chile</option>
<option value="China, People's Republic Of"<?= (@$info->emp_country1=="China, People's Republic Of")?" selected":""?>>China, People's Republic Of</option>
<option value="Colombia"<?= (@$info->emp_country1=="Colombia")?" selected":""?>>Colombia</option>
<option value="Comoros"<?= (@$info->emp_country1=="Comoros")?" selected":""?>>Comoros</option>
<option value="Congo, People's Republic Of"<?= (@$info->emp_country1=="Congo, People's Republic Of")?" selected":""?>>Congo, People's Republic Of</option>
<option value="Congo, Democratic Republic Of"<?= (@$info->emp_country1=="Congo, Democratic Republic Of")?" selected":""?>>Congo, Democratic Republic Of</option>
<option value="Cook Islands"<?= (@$info->emp_country1=="Cook Islands")?" selected":""?>>Cook Islands</option>
<option value="Costa Rica"<?= (@$info->emp_country1=="Costa Rica")?" selected":""?>>Costa Rica</option>
<option value="Croatia"<?= (@$info->emp_country1=="Croatia")?" selected":""?>>Croatia</option>
<option value="Cuba"<?= (@$info->emp_country1=="Cuba")?" selected":""?>>Cuba</option>
<option value="Cyprus"<?= (@$info->emp_country1=="Cyprus")?" selected":""?>>Cyprus</option>
<option value="Czech Republic"<?= (@$info->emp_country1=="Czech Republic")?" selected":""?>>Czech Republic</option>
<option value="Czechoslovakia"<?= (@$info->emp_country1=="Czechoslovakia")?" selected":""?>>Czechoslovakia</option>
<option value="Denmark"<?= (@$info->emp_country1=="Denmark")?" selected":""?>>Denmark</option>
<option value="Djibouti, Republic Of"<?= (@$info->emp_country1=="Djibouti, Republic Of")?" selected":""?>>Djibouti, Republic Of</option>
<option value="Dominica"<?= (@$info->emp_country1=="Dominica")?" selected":""?>>Dominica</option>
<option value="Dominican Republic"<?= (@$info->emp_country1=="Dominican Republic")?" selected":""?>>Dominican Republic</option>
<option value="East Timor"<?= (@$info->emp_country1=="East Timor")?" selected":""?>>East Timor</option>
<option value="Ecuador"<?= (@$info->emp_country1=="Ecuador")?" selected":""?>>Ecuador</option>
<option value="Egypt"<?= (@$info->emp_country1=="Egypt")?" selected":""?>>Egypt</option>
<option value="El Salvador"<?= (@$info->emp_country1=="El Salvador")?" selected":""?>>El Salvador</option>
<option value="England"<?= (@$info->emp_country1=="England")?" selected":""?>>England</option>
<option value="Eritrea"<?= (@$info->emp_country1=="Eritrea")?" selected":""?>>Eritrea</option>
<option value="Estonia"<?= (@$info->emp_country1=="Estonia")?" selected":""?>>Estonia</option>
<option value="Ethiopia"<?= (@$info->emp_country1=="Ethiopia")?" selected":""?>>Ethiopia</option>
<option value="Falkland Islands"<?= (@$info->emp_country1=="Falkland Islands")?" selected":""?>>Falkland Islands</option>
<option value="Federated States of Micronesia"<?= (@$info->emp_country1=="Federated States of Micronesia")?" selected":""?>>Federated States of Micronesia</option>
<option value="Fiji"<?= (@$info->emp_country1=="Fiji")?" selected":""?>>Fiji</option>
<option value="Finland"<?= (@$info->emp_country1=="Finland")?" selected":""?>>Finland</option>
<option value="France"<?= (@$info->emp_country1=="France")?" selected":""?>>France</option>
<option value="French Guiana"<?= (@$info->emp_country1=="French Guiana")?" selected":""?>>French Guiana</option>
<option value="French Polynesia"<?= (@$info->emp_country1=="French Polynesia")?" selected":""?>>French Polynesia</option>
<option value="Fyr Macedonia"<?= (@$info->emp_country1=="Fyr Macedonia")?" selected":""?>>Fyr Macedonia</option>
<option value="Gabon Republic"<?= (@$info->emp_country1=="Gabon Republic")?" selected":""?>>Gabon Republic</option>
<option value="Gambia"<?= (@$info->emp_country1=="Gambia")?" selected":""?>>Gambia</option>
<option value="Georgia"<?= (@$info->emp_country1=="Georgia")?" selected":""?>>Georgia</option>
<option value="Germany, Federal Rebpublic Of"<?= (@$info->emp_country1=="Germany, Federal Rebpublic Of")?" selected":""?>>Germany, Federal Rebpublic Of</option>
<option value="Ghana"<?= (@$info->emp_country1=="Ghana")?" selected":""?>>Ghana</option>
<option value="Gibraltar"<?= (@$info->emp_country1=="Gibraltar")?" selected":""?>>Gibraltar</option>
<option value="Greece"<?= (@$info->emp_country1=="Greece")?" selected":""?>>Greece</option>
<option value="Greenland"<?= (@$info->emp_country1=="Greenland")?" selected":""?>>Greenland</option>
<option value="Grenada"<?= (@$info->emp_country1=="Grenada")?" selected":""?>>Grenada</option>
<option value="Guadeloupe"<?= (@$info->emp_country1=="Guadeloupe")?" selected":""?>>Guadeloupe</option>
<option value="Guam"<?= (@$info->emp_country1=="Guam")?" selected":""?>>Guam</option>
<option value="Guatemala"<?= (@$info->emp_country1=="Guatemala")?" selected":""?>>Guatemala</option>
<option value="Guinea, Equatorial"<?= (@$info->emp_country1=="Guinea, Equatorial")?" selected":""?>>Guinea, Equatorial</option>
<option value="Guinea, Republic Of"<?= (@$info->emp_country1=="Guinea, Republic Of")?" selected":""?>>Guinea, Republic Of</option>
<option value="Guinea-Bissau"<?= (@$info->emp_country1=="Guinea-Bissau")?" selected":""?>>Guinea-Bissau</option>
<option value="Guyana"<?= (@$info->emp_country1=="Guyana")?" selected":""?>>Guyana</option>
<option value="Haiti"<?= (@$info->emp_country1=="Haiti")?" selected":""?>>Haiti</option>
<option value="Holy See"<?= (@$info->emp_country1=="Holy See")?" selected":""?>>Holy See</option>
<option value="Honduras"<?= (@$info->emp_country1=="Honduras")?" selected":""?>>Honduras</option>
<option value="Hong Kong"<?= (@$info->emp_country1=="Hong Kong")?" selected":""?>>Hong Kong</option>
<option value="Hong Kong Sar"<?= (@$info->emp_country1=="Hong Kong Sar")?" selected":""?>>Hong Kong Sar</option>
<option value="Hungary"<?= (@$info->emp_country1=="Hungary")?" selected":""?>>Hungary</option>
<option value="Iceland"<?= (@$info->emp_country1=="Iceland")?" selected":""?>>Iceland</option>
<option value="India"<?= (@$info->emp_country1=="India")?" selected":""?>>India</option>
<option value="Indonesia, Republic Of"<?= (@$info->emp_country1=="Indonesia, Republic Of")?" selected":""?>>Indonesia, Republic Of</option>
<option value="Iran"<?= (@$info->emp_country1=="Iran")?" selected":""?>>Iran</option>
<option value="Iraq"<?= (@$info->emp_country1=="Iraq")?" selected":""?>>Iraq</option>
<option value="Ireland, Republic Of"<?= (@$info->emp_country1=="Ireland, Republic Of")?" selected":""?>>Ireland, Republic Of</option>
<option value="Israel"<?= (@$info->emp_country1=="Israel")?" selected":""?>>Israel</option>
<option value="Italy"<?= (@$info->emp_country1=="Italy")?" selected":""?>>Italy</option>
<option value="Ivory Coast, Republic"<?= (@$info->emp_country1=="Ivory Coast, Republic")?" selected":""?>>Ivory Coast, Republic</option>
<option value="Jamaica"<?= (@$info->emp_country1=="Jamaica")?" selected":""?>>Jamaica</option>
<option value="Japan"<?= (@$info->emp_country1=="Japan")?" selected":""?>>Japan</option>
<option value="Jordan"<?= (@$info->emp_country1=="Jordan")?" selected":""?>>Jordan</option>
<option value="Kazakhstan"<?= (@$info->emp_country1=="Kazakhstan")?" selected":""?>>Kazakhstan</option>
<option value="Kenya"<?= (@$info->emp_country1=="Kenya")?" selected":""?>>Kenya</option>
<option value="Kiribati"<?= (@$info->emp_country1=="Kiribati")?" selected":""?>>Kiribati</option>
<option value="Korea (North)"<?= (@$info->emp_country1=="Korea (North)")?" selected":""?>>Korea (North)</option>
<option value="Korea, Republic Of"<?= (@$info->emp_country1=="Korea, Republic Of")?" selected":""?>>Korea, Republic Of</option>
<option value="Kuwait"<?= (@$info->emp_country1=="Kuwait")?" selected":""?>>Kuwait</option>
<option value="Kyrgyzstan"<?= (@$info->emp_country1=="Kyrgyzstan")?" selected":""?>>Kyrgyzstan</option>
<option value="Laos"<?= (@$info->emp_country1=="Laos")?" selected":""?>>Laos</option>
<option value="Latvia"<?= (@$info->emp_country1=="Latvia")?" selected":""?>>Latvia</option>
<option value="Lebanon"<?= (@$info->emp_country1=="Lebanon")?" selected":""?>>Lebanon</option>
<option value="Lesotho"<?= (@$info->emp_country1=="Lesotho")?" selected":""?>>Lesotho</option>
<option value="Liberia"<?= (@$info->emp_country1=="Liberia")?" selected":""?>>Liberia</option>
<option value="Libya"<?= (@$info->emp_country1=="Libya")?" selected":""?>>Libya</option>
<option value="Liechtenstein"<?= (@$info->emp_country1=="Liechtenstein")?" selected":""?>>Liechtenstein</option>
<option value="Lithuania"<?= (@$info->emp_country1=="Lithuania")?" selected":""?>>Lithuania</option>
<option value="Luxembourg"<?= (@$info->emp_country1=="Luxembourg")?" selected":""?>>Luxembourg</option>
<option value="Macao"<?= (@$info->emp_country1=="Macao")?" selected":""?>>Macao</option>
<option value="Macau SAR"<?= (@$info->emp_country1=="Macau SAR")?" selected":""?>>Macau SAR</option>
<option value="Madagascar"<?= (@$info->emp_country1=="Madagascar")?" selected":""?>>Madagascar</option>
<option value="Madeira"<?= (@$info->emp_country1=="Madeira")?" selected":""?>>Madeira</option>
<option value="Malawi"<?= (@$info->emp_country1=="Malawi")?" selected":""?>>Malawi</option>
<option value="Malaysia"<?= (@$info->emp_country1=="Malaysia")?" selected":""?>>Malaysia</option>
<option value="Maldives, Republic Of"<?= (@$info->emp_country1=="Maldives, Republic Of")?" selected":""?>>Maldives, Republic Of</option>
<option value="Mali, Republic Of"<?= (@$info->emp_country1=="Mali, Republic Of")?" selected":""?>>Mali, Republic Of</option>
<option value="Malta"<?= (@$info->emp_country1=="Malta")?" selected":""?>>Malta</option>
<option value="Marshall Islands"<?= (@$info->emp_country1=="Marshall Islands")?" selected":""?>>Marshall Islands</option>
<option value="Martinique"<?= (@$info->emp_country1=="Martinique")?" selected":""?>>Martinique</option>
<option value="Mauritania"<?= (@$info->emp_country1=="Mauritania")?" selected":""?>>Mauritania</option>
<option value="Mauritius"<?= (@$info->emp_country1=="Mauritius")?" selected":""?>>Mauritius</option>
<option value="Mayotte"<?= (@$info->emp_country1=="Mayotte")?" selected":""?>>Mayotte</option>
<option value="Mexico"<?= (@$info->emp_country1=="Mexico")?" selected":""?>>Mexico</option>
<option value="Moldova"<?= (@$info->emp_country1=="Moldova")?" selected":""?>>Moldova</option>
<option value="Monaco"<?= (@$info->emp_country1=="Monaco")?" selected":""?>>Monaco</option>
<option value="Mongolia, People's Republic Of"<?= (@$info->emp_country1=="Mongolia, People's Republic Of")?" selected":""?>>Mongolia, People's Republic Of</option>
<option value="Montenegro, Republic Of"<?= (@$info->emp_country1=="Montenegro, Republic Of")?" selected":""?>>Montenegro, Republic Of</option>
<option value="Montserrat"<?= (@$info->emp_country1=="Montserrat")?" selected":""?>>Montserrat</option>
<option value="Morocco"<?= (@$info->emp_country1=="Morocco")?" selected":""?>>Morocco</option>
<option value="Monzambique"<?= (@$info->emp_country1=="Monzambique")?" selected":""?>>Monzambique</option>
<option value="Myanmar (Burma)"<?= (@$info->emp_country1=="Myanmar (Burma)")?" selected":""?>>Myanmar (Burma)</option>
<option value="Namibia"<?= (@$info->emp_country1=="Namibia")?" selected":""?>>Namibia</option>
<option value="Nauru"<?= (@$info->emp_country1=="Nauru")?" selected":""?>>Nauru</option>
<option value="Nepal"<?= (@$info->emp_country1=="Nepal")?" selected":""?>>Nepal</option>
<option value="Netherlands Antilles, The"<?= (@$info->emp_country1=="Netherlands Antilles, The")?" selected":""?>>Netherlands Antilles, The</option>
<option value="Netherlands, The"<?= (@$info->emp_country1=="Netherlands, The")?" selected":""?>>Netherlands, The</option>
<option value="Nevis"<?= (@$info->emp_country1=="Nevis")?" selected":""?>>Nevis</option>
<option value="New Caledonia"<?= (@$info->emp_country1=="New Caledonia")?" selected":""?>>New Caledonia</option>
<option value="New Zealand"<?= (@$info->emp_country1=="New Zealand")?" selected":""?>>New Zealand</option>
<option value="Nicaragua"<?= (@$info->emp_country1=="Nicaragua")?" selected":""?>>Nicaragua</option>
<option value="Niger, Republic Of The"<?= (@$info->emp_country1=="Niger, Republic Of The")?" selected":""?>>Niger, Republic Of The</option>
<option value="Nigeria"<?= (@$info->emp_country1=="Nigeria")?" selected":""?>>Nigeria</option>
<option value="Northern Ireland"<?= (@$info->emp_country1=="Northern Ireland")?" selected":""?>>Northern Ireland</option>
<option value="Northern Mariana Islands"<?= (@$info->emp_country1=="Northern Mariana Islands")?" selected":""?>>Northern Mariana Islands</option>
<option value="Norway"<?= (@$info->emp_country1=="Norway")?" selected":""?>>Norway</option>
<option value="Oman"<?= (@$info->emp_country1=="Oman")?" selected":""?>>Oman</option>
<option value="Pakistan"<?= (@$info->emp_country1=="Pakistan")?" selected":""?>>Pakistan</option>
<option value="Palestinian Autho.Gaza/W Bank"<?= (@$info->emp_country1=="Palestinian Autho.Gaza/W Bank")?" selected":""?>>Palestinian Autho.Gaza/W Bank</option>
<option value="Panama, Republic Of"<?= (@$info->emp_country1=="Panama, Republic Of")?" selected":""?>>Panama, Republic Of</option>
<option value="Papua New Guinea"<?= (@$info->emp_country1=="Papua New Guinea")?" selected":""?>>Papua New Guinea</option>
<option value="Paraguay"<?= (@$info->emp_country1=="Paraguay")?" selected":""?>>Paraguay</option>
<option value="Peru"<?= (@$info->emp_country1=="Peru")?" selected":""?>>Peru</option>
<option value="Philippines"<?= (@$info->emp_country1=="Philippines")?" selected":""?>>Philippines</option>
<option value="Pitcairn Island"<?= (@$info->emp_country1=="Pitcairn Island")?" selected":""?>>Pitcairn Island</option>
<option value="poland"<?= (@$info->emp_country1=="poland")?" selected":""?>>poland</option>
<option value="Portugal"<?= (@$info->emp_country1=="Portugal")?" selected":""?>>Portugal</option>
<option value="Puerto Rico"<?= (@$info->emp_country1=="Puerto Rico")?" selected":""?>>Puerto Rico</option>
<option value="Qatar"<?= (@$info->emp_country1=="Qatar")?" selected":""?>>Qatar</option>
<option value="Republic Of Kosovo"<?= (@$info->emp_country1=="Republic Of Kosovo")?" selected":""?>>Republic Of Kosovo</option>
<option value="Republic Of Palau"<?= (@$info->emp_country1=="Republic Of Palau")?" selected":""?>>Republic Of Palau</option>
<option value="Reunion"<?= (@$info->emp_country1=="Reunion")?" selected":""?>>Reunion</option>
<option value="Romania"<?= (@$info->emp_country1=="Romania")?" selected":""?>>Romania</option>
<option value="Russia"<?= (@$info->emp_country1=="Russia")?" selected":""?>>Russia</option>
<option value="Rwanda"<?= (@$info->emp_country1=="Rwanda")?" selected":""?>>Rwanda</option>
<option value="Samoa, American"<?= (@$info->emp_country1=="Samoa, American")?" selected":""?>>Samoa, American</option>
<option value="Samoa, Western"<?= (@$info->emp_country1=="Samoa, Western")?" selected":""?>>Samoa, Western</option>
<option value="San Marino"<?= (@$info->emp_country1=="San Marino")?" selected":""?>>San Marino</option>
<option value="Sao Tome E Principe"<?= (@$info->emp_country1=="Sao Tome E Principe")?" selected":""?>>Sao Tome E Principe</option>
<option value="Saudi Arabia"<?= (@$info->emp_country1=="Saudi Arabia")?" selected":""?>>Saudi Arabia</option>
<option value="Scotland"<?= (@$info->emp_country1=="Scotland")?" selected":""?>>Scotland</option>
<option value="Senegal"<?= (@$info->emp_country1=="Senegal")?" selected":""?>>Senegal</option>
<option value="Serbia And Montenegro"<?= (@$info->emp_country1=="Serbia And Montenegro")?" selected":""?>>Serbia And Montenegro</option>
<option value="Serbia, Republic Of"<?= (@$info->emp_country1=="Serbia, Republic Of")?" selected":""?>>Serbia, Republic Of</option>
<option value="Seychelles"<?= (@$info->emp_country1=="Seychelles")?" selected":""?>>Seychelles</option>
<option value="Sierra Leone"<?= (@$info->emp_country1=="Sierra Leone")?" selected":""?>>Sierra Leone</option>
<option value="Singapore"<?= (@$info->emp_country1=="Singapore")?" selected":""?>>Singapore</option>
<option value="Slovak Republic"<?= (@$info->emp_country1=="Slovak Republic")?" selected":""?>>Slovak Republic</option>
<option value="Slovenia"<?= (@$info->emp_country1=="Slovenia")?" selected":""?>>Slovenia</option>
<option value="Solomons, The"<?= (@$info->emp_country1=="Solomons, The")?" selected":""?>>Solomons, The</option>
<option value="Somali Republic"<?= (@$info->emp_country1=="Somali Republic")?" selected":""?>>Somali Republic</option>
<option value="South Africa, Republic Of"<?= (@$info->emp_country1=="South Africa, Republic Of")?" selected":""?>>South Africa, Republic Of</option>
<option value="Southern Antarctic Territories"<?= (@$info->emp_country1=="Southern Antarctic Territories")?" selected":""?>>Southern Antarctic Territories</option>
<option value="Spain"<?= (@$info->emp_country1=="Spain")?" selected":""?>>Spain</option>
<option value="Sri Lanka"<?= (@$info->emp_country1=="Sri Lanka")?" selected":""?>>Sri Lanka</option>
<option value="St. Helena"<?= (@$info->emp_country1=="St. Helena")?" selected":""?>>St. Helena</option>
<option value="St. Kitts-Nevis"<?= (@$info->emp_country1=="St. Kitts-Nevis")?" selected":""?>>St. Kitts-Nevis</option>
<option value="St. Lucia"<?= (@$info->emp_country1=="St. Lucia")?" selected":""?>>St. Lucia</option>
<option value="St. Pierre Et Miquelon"<?= (@$info->emp_country1=="St. Pierre Et Miquelon")?" selected":""?>>St. Pierre Et Miquelon</option>
<option value="St. Vincent and the Grenadines"<?= (@$info->emp_country1=="St. Vincent and the Grenadines")?" selected":""?>>St. Vincent and the Grenadines</option>
<option value="Sudan, Democratic Republic Of"<?= (@$info->emp_country1=="Sudan, Democratic Republic Of")?" selected":""?>>Sudan, Democratic Republic Of</option>
<option value="Surinam"<?= (@$info->emp_country1=="Surinam")?" selected":""?>>Surinam</option>
<option value="Swaziland"<?= (@$info->emp_country1=="Swaziland")?" selected":""?>>Swaziland</option>
<option value="Sweden"<?= (@$info->emp_country1=="Sweden")?" selected":""?>>Sweden</option>
<option value="Switzerland"<?= (@$info->emp_country1=="Switzerland")?" selected":""?>>Switzerland</option>
<option value="Syria"<?= (@$info->emp_country1=="Syria")?" selected":""?>>Syria</option>
<option value="Tadjikistan"<?= (@$info->emp_country1=="Tadjikistan")?" selected":""?>>Tadjikistan</option>
<option value="Taiwan"<?= (@$info->emp_country1=="Taiwan")?" selected":""?>>Taiwan</option>
<option value="Tanzania, United Republic Of"<?= (@$info->emp_country1=="Tanzania, United Republic Of")?" selected":""?>>Tanzania, United Republic Of</option>
<option value="Thailand"<?= (@$info->emp_country1=="Thailand")?" selected":""?>>Thailand</option>
<option value="Tibet"<?= (@$info->emp_country1=="Tibet")?" selected":""?>>Tibet</option>
<option value="Togo, Republic Of"<?= (@$info->emp_country1=="Togo, Republic Of")?" selected":""?>>Togo, Republic Of</option>
<option value="Tonga"<?= (@$info->emp_country1=="Tonga")?" selected":""?>>Tonga</option>
<option value="Trinidad & Tobago, Republic Of"<?= (@$info->emp_country1=="Trinidad & Tobago, Republic Of")?" selected":""?>>Trinidad & Tobago, Republic Of</option>
<option value="Tunisia"<?= (@$info->emp_country1=="Tunisia")?" selected":""?>>Tunisia</option>
<option value="Turkey"<?= (@$info->emp_country1=="Turkey")?" selected":""?>>Turkey</option>
<option value="Turkmenistan"<?= (@$info->emp_country1=="Turkmenistan")?" selected":""?>>Turkmenistan</option>
<option value="Turks And Caicos Islands"<?= (@$info->emp_country1=="Turks And Caicos Islands")?" selected":""?>>Turks And Caicos Islands</option>
<option value="Tuvalu"<?= (@$info->emp_country1=="Tuvalu")?" selected":""?>>Tuvalu</option>
<option value="Uganda"<?= (@$info->emp_country1=="Uganda")?" selected":""?>>Uganda</option>
<option value="Ukraine"<?= (@$info->emp_country1=="Ukraine")?" selected":""?>>Ukraine</option>
<option value="Union Of Soviet Socialist Rep"<?= (@$info->emp_country1=="Union Of Soviet Socialist Rep")?" selected":""?>>Union Of Soviet Socialist Rep</option>
<option value="united Arab Emirates"<?= (@$info->emp_country1=="united Arab Emirates")?" selected":""?>>united Arab Emirates</option>
<option value="United States of America"<?= (@$info->emp_country1=="United States of America")?" selected":""?>>United States of America</option>
<option value="Unknown"<?= (@$info->emp_country1=="Unknown")?" selected":""?>>Unknown</option>
<option value="Uruguay"<?= (@$info->emp_country1=="Uruguay")?" selected":""?>>Uruguay</option>
<option value="Uzbekistan"<?= (@$info->emp_country1=="Uzbekistan")?" selected":""?>>Uzbekistan</option>
<option value="Vanuatu"<?= (@$info->emp_country1=="Vanuatu")?" selected":""?>>Vanuatu</option>
<option value="Venezuela"<?= (@$info->emp_country1=="Venezuela")?" selected":""?>>Venezuela</option>
<option value="Vietnam, Socialist Republic Of"<?= (@$info->emp_country1=="Vietnam, Socialist Republic Of")?" selected":""?>>Vietnam, Socialist Republic Of</option>
<option value="Virgin Islands, British"<?= (@$info->emp_country1=="Virgin Islands, British")?" selected":""?>>Virgin Islands, British</option>
<option value="Virgin Islands, U.s."<?= (@$info->emp_country1=="Virgin Islands, U.s.")?" selected":""?>>Virgin Islands, U.s.</option>
<option value="Wales"<?= (@$info->emp_country1=="Wales")?" selected":""?>>Wales</option>
<option value="Wallis And Futuna"<?= (@$info->emp_country1=="Wallis And Futuna")?" selected":""?>>Wallis And Futuna</option>
<option value="Western Sahara"<?= (@$info->emp_country1=="Western Sahara")?" selected":""?>>Western Sahara</option>
<option value="Yemen, Republic Of"<?= (@$info->emp_country1=="Yemen, Republic Of")?" selected":""?>>Yemen, Republic Of</option>
<option value="Yugoslavia"<?= (@$info->emp_country1=="Yugoslavia")?" selected":""?>>Yugoslavia</option>
<option value="Zambia"<?= (@$info->emp_country1=="Zambia")?" selected":""?>>Zambia</option>
<option value="Zimbabwe"<?= (@$info->emp_country1=="Zimbabwe")?" selected":""?>>Zimbabwe</option>
			</select>
			</td>
			<td>Province/State
				<br />
				<input type="text" name="emp_province1" value="<?= @$info->emp_province1?>" /></td>
        </tr>
		<tr class="odd">
            <td>2)From<br />
YYYY
            	<input type="text" name="emp_from_y2" value="<?= @$info->emp_from_y2?>" style="width:30px" />
MM
<input type="text" name="emp_from_m2" value="<?= @$info->emp_from_m2?>" style="width:15px" /></td>
        	<td>Current Activity/Occupation
        		<input type="text" name="emp_occup2" value="<?= @$info->emp_occup2?>" /></td>
        	<td>&nbsp;</td>
        	<td>Company/Employer/Facility name
        		<input type="text" name="emp_company2" value="<?= @$info->emp_company2?>" /></td>
        	<td>&nbsp;</td>
        </tr>
        <tr class="even">
            <td>To<br />
YYYY
            	<input type="text" name="emp_to_y2" value="<?= @$info->emp_to_y2?>" style="width:30px" />
MM
<input type="text" name="emp_to_m2" value="<?= @$info->emp_to_m2?>" style="width:15px" /></td>
        	<td>City/Town
        		<br />
        		<input type="text" name="emp_city2" value="<?= @$info->emp_city2?>" /></td>
        	<td>&nbsp;</td>
        	<td>Country<br />
			<select name="emp_country2">
<option></option>
<option value="Afghanistan"<?= (@$info->emp_country2=="Afghanistan")?" selected":""?>>Afghanistan</option>
<option value="Albania"<?= (@$info->emp_country2=="Albania")?" selected":""?>>Albania</option>
<option value="Algeria"<?= (@$info->emp_country2=="Algeria")?" selected":""?>>Algeria</option>
<option value="Andorra"<?= (@$info->emp_country2=="Andorra")?" selected":""?>>Andorra</option>
<option value="Angola"<?= (@$info->emp_country2=="Angola")?" selected":""?>>Angola</option>
<option value="Anguilla"<?= (@$info->emp_country2=="Anguilla")?" selected":""?>>Anguilla</option>
<option value="Antigua And Barbuda"<?= (@$info->emp_country2=="Antigua And Barbuda")?" selected":""?>>Antigua And Barbuda</option>
<option value="Argentina"<?= (@$info->emp_country2=="Argentina")?" selected":""?>>Argentina</option>
<option value="Armenia"<?= (@$info->emp_country2=="Armenia")?" selected":""?>>Armenia</option>
<option value="Aruba"<?= (@$info->emp_country2=="Aruba")?" selected":""?>>Aruba</option>
<option value="Australia"<?= (@$info->emp_country2=="Australia")?" selected":""?>>Australia</option>
<option value="Austria"<?= (@$info->emp_country2=="Austria")?" selected":""?>>Austria</option>
<option value="Azerbaijan"<?= (@$info->emp_country2=="Azerbaijan")?" selected":""?>>Azerbaijan</option>
<option value="Azores"<?= (@$info->emp_country2=="Azores")?" selected":""?>>Azores</option>
<option value="Bahama Islands, The"<?= (@$info->emp_country2=="Bahama Islands, The")?" selected":""?>>Bahama Islands, The</option>
<option value="Bahrain"<?= (@$info->emp_country2=="Bahrain")?" selected":""?>>Bahrain</option>
<option value="Bangladesh"<?= (@$info->emp_country2=="Bangladesh")?" selected":""?>>Bangladesh</option>
<option value="Barbados"<?= (@$info->emp_country2=="Barbados")?" selected":""?>>Barbados</option>
<option value="Belarus"<?= (@$info->emp_country2=="Belarus")?" selected":""?>>Belarus</option>
<option value="Belgium"<?= (@$info->emp_country2=="Belgium")?" selected":""?>>Belgium</option>
<option value="Belize"<?= (@$info->emp_country2=="Belize")?" selected":""?>>Belize</option>
<option value="Benin, Peoples Republic Of"<?= (@$info->emp_country2=="Benin, Peoples Republic Of")?" selected":""?>>Benin, Peoples Republic Of</option>
<option value="Bermuda"<?= (@$info->emp_country2=="Bermuda")?" selected":""?>>Bermuda</option>
<option value="Bhutan"<?= (@$info->emp_country2=="Bhutan")?" selected":""?>>Bhutan</option>
<option value="Bolivia"<?= (@$info->emp_country2=="Bolivia")?" selected":""?>>Bolivia</option>
<option value="Bosnia-Hercepovina"<?= (@$info->emp_country2=="Bosnia-Hercepovina")?" selected":""?>>Bosnia-Hercepovina</option>
<option value="Botswana, Republic Of"<?= (@$info->emp_country2=="Botswana, Republic Of")?" selected":""?>>Botswana, Republic Of</option>
<option value="Brazil"<?= (@$info->emp_country2=="Brazil")?" selected":""?>>Brazil</option>
<option value="Brunei"<?= (@$info->emp_country2=="Brunei")?" selected":""?>>Brunei</option>
<option value="Bulgaria"<?= (@$info->emp_country2=="Bulgaria")?" selected":""?>>Bulgaria</option>
<option value="Burkina Faso"<?= (@$info->emp_country2=="Burkina Faso")?" selected":""?>>Burkina Faso</option>
<option value="Burundi"<?= (@$info->emp_country2=="Burundi")?" selected":""?>>Burundi</option>
<option value="Cambodia"<?= (@$info->emp_country2=="Cambodia")?" selected":""?>>Cambodia</option>
<option value="Cameroon, Federal Republic Of"<?= (@$info->emp_country2=="Cameroon, Federal Republic Of")?" selected":""?>>Cameroon, Federal Republic Of</option>
<option value="Canada"<?= (@$info->emp_country2=="Canada")?" selected":""?>>Canada</option>
<option value="Canary Islands"<?= (@$info->emp_country2=="Canary Islands")?" selected":""?>>Canary Islands</option>
<option value="Cape Verde Islands"<?= (@$info->emp_country2=="Cape Verde Islands")?" selected":""?>>Cape Verde Islands</option>
<option value="Cayman Islands"<?= (@$info->emp_country2=="Cayman Islands")?" selected":""?>>Cayman Islands</option>
<option value="Central Africa Republic"<?= (@$info->emp_country2=="Central Africa Republic")?" selected":""?>>Central Africa Republic</option>
<option value="Chad, Republic Of"<?= (@$info->emp_country2=="Chad, Republic Of")?" selected":""?>>Chad, Republic Of</option>
<option value="Channel Islands"<?= (@$info->emp_country2=="Channel Islands")?" selected":""?>>Channel Islands</option>
<option value="Chile"<?= (@$info->emp_country2=="Chile")?" selected":""?>>Chile</option>
<option value="China, People's Republic Of"<?= (@$info->emp_country2=="China, People's Republic Of")?" selected":""?>>China, People's Republic Of</option>
<option value="Colombia"<?= (@$info->emp_country2=="Colombia")?" selected":""?>>Colombia</option>
<option value="Comoros"<?= (@$info->emp_country2=="Comoros")?" selected":""?>>Comoros</option>
<option value="Congo, People's Republic Of"<?= (@$info->emp_country2=="Congo, People's Republic Of")?" selected":""?>>Congo, People's Republic Of</option>
<option value="Congo, Democratic Republic Of"<?= (@$info->emp_country2=="Congo, Democratic Republic Of")?" selected":""?>>Congo, Democratic Republic Of</option>
<option value="Cook Islands"<?= (@$info->emp_country2=="Cook Islands")?" selected":""?>>Cook Islands</option>
<option value="Costa Rica"<?= (@$info->emp_country2=="Costa Rica")?" selected":""?>>Costa Rica</option>
<option value="Croatia"<?= (@$info->emp_country2=="Croatia")?" selected":""?>>Croatia</option>
<option value="Cuba"<?= (@$info->emp_country2=="Cuba")?" selected":""?>>Cuba</option>
<option value="Cyprus"<?= (@$info->emp_country2=="Cyprus")?" selected":""?>>Cyprus</option>
<option value="Czech Republic"<?= (@$info->emp_country2=="Czech Republic")?" selected":""?>>Czech Republic</option>
<option value="Czechoslovakia"<?= (@$info->emp_country2=="Czechoslovakia")?" selected":""?>>Czechoslovakia</option>
<option value="Denmark"<?= (@$info->emp_country2=="Denmark")?" selected":""?>>Denmark</option>
<option value="Djibouti, Republic Of"<?= (@$info->emp_country2=="Djibouti, Republic Of")?" selected":""?>>Djibouti, Republic Of</option>
<option value="Dominica"<?= (@$info->emp_country2=="Dominica")?" selected":""?>>Dominica</option>
<option value="Dominican Republic"<?= (@$info->emp_country2=="Dominican Republic")?" selected":""?>>Dominican Republic</option>
<option value="East Timor"<?= (@$info->emp_country2=="East Timor")?" selected":""?>>East Timor</option>
<option value="Ecuador"<?= (@$info->emp_country2=="Ecuador")?" selected":""?>>Ecuador</option>
<option value="Egypt"<?= (@$info->emp_country2=="Egypt")?" selected":""?>>Egypt</option>
<option value="El Salvador"<?= (@$info->emp_country2=="El Salvador")?" selected":""?>>El Salvador</option>
<option value="England"<?= (@$info->emp_country2=="England")?" selected":""?>>England</option>
<option value="Eritrea"<?= (@$info->emp_country2=="Eritrea")?" selected":""?>>Eritrea</option>
<option value="Estonia"<?= (@$info->emp_country2=="Estonia")?" selected":""?>>Estonia</option>
<option value="Ethiopia"<?= (@$info->emp_country2=="Ethiopia")?" selected":""?>>Ethiopia</option>
<option value="Falkland Islands"<?= (@$info->emp_country2=="Falkland Islands")?" selected":""?>>Falkland Islands</option>
<option value="Federated States of Micronesia"<?= (@$info->emp_country2=="Federated States of Micronesia")?" selected":""?>>Federated States of Micronesia</option>
<option value="Fiji"<?= (@$info->emp_country2=="Fiji")?" selected":""?>>Fiji</option>
<option value="Finland"<?= (@$info->emp_country2=="Finland")?" selected":""?>>Finland</option>
<option value="France"<?= (@$info->emp_country2=="France")?" selected":""?>>France</option>
<option value="French Guiana"<?= (@$info->emp_country2=="French Guiana")?" selected":""?>>French Guiana</option>
<option value="French Polynesia"<?= (@$info->emp_country2=="French Polynesia")?" selected":""?>>French Polynesia</option>
<option value="Fyr Macedonia"<?= (@$info->emp_country2=="Fyr Macedonia")?" selected":""?>>Fyr Macedonia</option>
<option value="Gabon Republic"<?= (@$info->emp_country2=="Gabon Republic")?" selected":""?>>Gabon Republic</option>
<option value="Gambia"<?= (@$info->emp_country2=="Gambia")?" selected":""?>>Gambia</option>
<option value="Georgia"<?= (@$info->emp_country2=="Georgia")?" selected":""?>>Georgia</option>
<option value="Germany, Federal Rebpublic Of"<?= (@$info->emp_country2=="Germany, Federal Rebpublic Of")?" selected":""?>>Germany, Federal Rebpublic Of</option>
<option value="Ghana"<?= (@$info->emp_country2=="Ghana")?" selected":""?>>Ghana</option>
<option value="Gibraltar"<?= (@$info->emp_country2=="Gibraltar")?" selected":""?>>Gibraltar</option>
<option value="Greece"<?= (@$info->emp_country2=="Greece")?" selected":""?>>Greece</option>
<option value="Greenland"<?= (@$info->emp_country2=="Greenland")?" selected":""?>>Greenland</option>
<option value="Grenada"<?= (@$info->emp_country2=="Grenada")?" selected":""?>>Grenada</option>
<option value="Guadeloupe"<?= (@$info->emp_country2=="Guadeloupe")?" selected":""?>>Guadeloupe</option>
<option value="Guam"<?= (@$info->emp_country2=="Guam")?" selected":""?>>Guam</option>
<option value="Guatemala"<?= (@$info->emp_country2=="Guatemala")?" selected":""?>>Guatemala</option>
<option value="Guinea, Equatorial"<?= (@$info->emp_country2=="Guinea, Equatorial")?" selected":""?>>Guinea, Equatorial</option>
<option value="Guinea, Republic Of"<?= (@$info->emp_country2=="Guinea, Republic Of")?" selected":""?>>Guinea, Republic Of</option>
<option value="Guinea-Bissau"<?= (@$info->emp_country2=="Guinea-Bissau")?" selected":""?>>Guinea-Bissau</option>
<option value="Guyana"<?= (@$info->emp_country2=="Guyana")?" selected":""?>>Guyana</option>
<option value="Haiti"<?= (@$info->emp_country2=="Haiti")?" selected":""?>>Haiti</option>
<option value="Holy See"<?= (@$info->emp_country2=="Holy See")?" selected":""?>>Holy See</option>
<option value="Honduras"<?= (@$info->emp_country2=="Honduras")?" selected":""?>>Honduras</option>
<option value="Hong Kong"<?= (@$info->emp_country2=="Hong Kong")?" selected":""?>>Hong Kong</option>
<option value="Hong Kong Sar"<?= (@$info->emp_country2=="Hong Kong Sar")?" selected":""?>>Hong Kong Sar</option>
<option value="Hungary"<?= (@$info->emp_country2=="Hungary")?" selected":""?>>Hungary</option>
<option value="Iceland"<?= (@$info->emp_country2=="Iceland")?" selected":""?>>Iceland</option>
<option value="India"<?= (@$info->emp_country2=="India")?" selected":""?>>India</option>
<option value="Indonesia, Republic Of"<?= (@$info->emp_country2=="Indonesia, Republic Of")?" selected":""?>>Indonesia, Republic Of</option>
<option value="Iran"<?= (@$info->emp_country2=="Iran")?" selected":""?>>Iran</option>
<option value="Iraq"<?= (@$info->emp_country2=="Iraq")?" selected":""?>>Iraq</option>
<option value="Ireland, Republic Of"<?= (@$info->emp_country2=="Ireland, Republic Of")?" selected":""?>>Ireland, Republic Of</option>
<option value="Israel"<?= (@$info->emp_country2=="Israel")?" selected":""?>>Israel</option>
<option value="Italy"<?= (@$info->emp_country2=="Italy")?" selected":""?>>Italy</option>
<option value="Ivory Coast, Republic"<?= (@$info->emp_country2=="Ivory Coast, Republic")?" selected":""?>>Ivory Coast, Republic</option>
<option value="Jamaica"<?= (@$info->emp_country2=="Jamaica")?" selected":""?>>Jamaica</option>
<option value="Japan"<?= (@$info->emp_country2=="Japan")?" selected":""?>>Japan</option>
<option value="Jordan"<?= (@$info->emp_country2=="Jordan")?" selected":""?>>Jordan</option>
<option value="Kazakhstan"<?= (@$info->emp_country2=="Kazakhstan")?" selected":""?>>Kazakhstan</option>
<option value="Kenya"<?= (@$info->emp_country2=="Kenya")?" selected":""?>>Kenya</option>
<option value="Kiribati"<?= (@$info->emp_country2=="Kiribati")?" selected":""?>>Kiribati</option>
<option value="Korea (North)"<?= (@$info->emp_country2=="Korea (North)")?" selected":""?>>Korea (North)</option>
<option value="Korea, Republic Of"<?= (@$info->emp_country2=="Korea, Republic Of")?" selected":""?>>Korea, Republic Of</option>
<option value="Kuwait"<?= (@$info->emp_country2=="Kuwait")?" selected":""?>>Kuwait</option>
<option value="Kyrgyzstan"<?= (@$info->emp_country2=="Kyrgyzstan")?" selected":""?>>Kyrgyzstan</option>
<option value="Laos"<?= (@$info->emp_country2=="Laos")?" selected":""?>>Laos</option>
<option value="Latvia"<?= (@$info->emp_country2=="Latvia")?" selected":""?>>Latvia</option>
<option value="Lebanon"<?= (@$info->emp_country2=="Lebanon")?" selected":""?>>Lebanon</option>
<option value="Lesotho"<?= (@$info->emp_country2=="Lesotho")?" selected":""?>>Lesotho</option>
<option value="Liberia"<?= (@$info->emp_country2=="Liberia")?" selected":""?>>Liberia</option>
<option value="Libya"<?= (@$info->emp_country2=="Libya")?" selected":""?>>Libya</option>
<option value="Liechtenstein"<?= (@$info->emp_country2=="Liechtenstein")?" selected":""?>>Liechtenstein</option>
<option value="Lithuania"<?= (@$info->emp_country2=="Lithuania")?" selected":""?>>Lithuania</option>
<option value="Luxembourg"<?= (@$info->emp_country2=="Luxembourg")?" selected":""?>>Luxembourg</option>
<option value="Macao"<?= (@$info->emp_country2=="Macao")?" selected":""?>>Macao</option>
<option value="Macau SAR"<?= (@$info->emp_country2=="Macau SAR")?" selected":""?>>Macau SAR</option>
<option value="Madagascar"<?= (@$info->emp_country2=="Madagascar")?" selected":""?>>Madagascar</option>
<option value="Madeira"<?= (@$info->emp_country2=="Madeira")?" selected":""?>>Madeira</option>
<option value="Malawi"<?= (@$info->emp_country2=="Malawi")?" selected":""?>>Malawi</option>
<option value="Malaysia"<?= (@$info->emp_country2=="Malaysia")?" selected":""?>>Malaysia</option>
<option value="Maldives, Republic Of"<?= (@$info->emp_country2=="Maldives, Republic Of")?" selected":""?>>Maldives, Republic Of</option>
<option value="Mali, Republic Of"<?= (@$info->emp_country2=="Mali, Republic Of")?" selected":""?>>Mali, Republic Of</option>
<option value="Malta"<?= (@$info->emp_country2=="Malta")?" selected":""?>>Malta</option>
<option value="Marshall Islands"<?= (@$info->emp_country2=="Marshall Islands")?" selected":""?>>Marshall Islands</option>
<option value="Martinique"<?= (@$info->emp_country2=="Martinique")?" selected":""?>>Martinique</option>
<option value="Mauritania"<?= (@$info->emp_country2=="Mauritania")?" selected":""?>>Mauritania</option>
<option value="Mauritius"<?= (@$info->emp_country2=="Mauritius")?" selected":""?>>Mauritius</option>
<option value="Mayotte"<?= (@$info->emp_country2=="Mayotte")?" selected":""?>>Mayotte</option>
<option value="Mexico"<?= (@$info->emp_country2=="Mexico")?" selected":""?>>Mexico</option>
<option value="Moldova"<?= (@$info->emp_country2=="Moldova")?" selected":""?>>Moldova</option>
<option value="Monaco"<?= (@$info->emp_country2=="Monaco")?" selected":""?>>Monaco</option>
<option value="Mongolia, People's Republic Of"<?= (@$info->emp_country2=="Mongolia, People's Republic Of")?" selected":""?>>Mongolia, People's Republic Of</option>
<option value="Montenegro, Republic Of"<?= (@$info->emp_country2=="Montenegro, Republic Of")?" selected":""?>>Montenegro, Republic Of</option>
<option value="Montserrat"<?= (@$info->emp_country2=="Montserrat")?" selected":""?>>Montserrat</option>
<option value="Morocco"<?= (@$info->emp_country2=="Morocco")?" selected":""?>>Morocco</option>
<option value="Monzambique"<?= (@$info->emp_country2=="Monzambique")?" selected":""?>>Monzambique</option>
<option value="Myanmar (Burma)"<?= (@$info->emp_country2=="Myanmar (Burma)")?" selected":""?>>Myanmar (Burma)</option>
<option value="Namibia"<?= (@$info->emp_country2=="Namibia")?" selected":""?>>Namibia</option>
<option value="Nauru"<?= (@$info->emp_country2=="Nauru")?" selected":""?>>Nauru</option>
<option value="Nepal"<?= (@$info->emp_country2=="Nepal")?" selected":""?>>Nepal</option>
<option value="Netherlands Antilles, The"<?= (@$info->emp_country2=="Netherlands Antilles, The")?" selected":""?>>Netherlands Antilles, The</option>
<option value="Netherlands, The"<?= (@$info->emp_country2=="Netherlands, The")?" selected":""?>>Netherlands, The</option>
<option value="Nevis"<?= (@$info->emp_country2=="Nevis")?" selected":""?>>Nevis</option>
<option value="New Caledonia"<?= (@$info->emp_country2=="New Caledonia")?" selected":""?>>New Caledonia</option>
<option value="New Zealand"<?= (@$info->emp_country2=="New Zealand")?" selected":""?>>New Zealand</option>
<option value="Nicaragua"<?= (@$info->emp_country2=="Nicaragua")?" selected":""?>>Nicaragua</option>
<option value="Niger, Republic Of The"<?= (@$info->emp_country2=="Niger, Republic Of The")?" selected":""?>>Niger, Republic Of The</option>
<option value="Nigeria"<?= (@$info->emp_country2=="Nigeria")?" selected":""?>>Nigeria</option>
<option value="Northern Ireland"<?= (@$info->emp_country2=="Northern Ireland")?" selected":""?>>Northern Ireland</option>
<option value="Northern Mariana Islands"<?= (@$info->emp_country2=="Northern Mariana Islands")?" selected":""?>>Northern Mariana Islands</option>
<option value="Norway"<?= (@$info->emp_country2=="Norway")?" selected":""?>>Norway</option>
<option value="Oman"<?= (@$info->emp_country2=="Oman")?" selected":""?>>Oman</option>
<option value="Pakistan"<?= (@$info->emp_country2=="Pakistan")?" selected":""?>>Pakistan</option>
<option value="Palestinian Autho.Gaza/W Bank"<?= (@$info->emp_country2=="Palestinian Autho.Gaza/W Bank")?" selected":""?>>Palestinian Autho.Gaza/W Bank</option>
<option value="Panama, Republic Of"<?= (@$info->emp_country2=="Panama, Republic Of")?" selected":""?>>Panama, Republic Of</option>
<option value="Papua New Guinea"<?= (@$info->emp_country2=="Papua New Guinea")?" selected":""?>>Papua New Guinea</option>
<option value="Paraguay"<?= (@$info->emp_country2=="Paraguay")?" selected":""?>>Paraguay</option>
<option value="Peru"<?= (@$info->emp_country2=="Peru")?" selected":""?>>Peru</option>
<option value="Philippines"<?= (@$info->emp_country2=="Philippines")?" selected":""?>>Philippines</option>
<option value="Pitcairn Island"<?= (@$info->emp_country2=="Pitcairn Island")?" selected":""?>>Pitcairn Island</option>
<option value="poland"<?= (@$info->emp_country2=="poland")?" selected":""?>>poland</option>
<option value="Portugal"<?= (@$info->emp_country2=="Portugal")?" selected":""?>>Portugal</option>
<option value="Puerto Rico"<?= (@$info->emp_country2=="Puerto Rico")?" selected":""?>>Puerto Rico</option>
<option value="Qatar"<?= (@$info->emp_country2=="Qatar")?" selected":""?>>Qatar</option>
<option value="Republic Of Kosovo"<?= (@$info->emp_country2=="Republic Of Kosovo")?" selected":""?>>Republic Of Kosovo</option>
<option value="Republic Of Palau"<?= (@$info->emp_country2=="Republic Of Palau")?" selected":""?>>Republic Of Palau</option>
<option value="Reunion"<?= (@$info->emp_country2=="Reunion")?" selected":""?>>Reunion</option>
<option value="Romania"<?= (@$info->emp_country2=="Romania")?" selected":""?>>Romania</option>
<option value="Russia"<?= (@$info->emp_country2=="Russia")?" selected":""?>>Russia</option>
<option value="Rwanda"<?= (@$info->emp_country2=="Rwanda")?" selected":""?>>Rwanda</option>
<option value="Samoa, American"<?= (@$info->emp_country2=="Samoa, American")?" selected":""?>>Samoa, American</option>
<option value="Samoa, Western"<?= (@$info->emp_country2=="Samoa, Western")?" selected":""?>>Samoa, Western</option>
<option value="San Marino"<?= (@$info->emp_country2=="San Marino")?" selected":""?>>San Marino</option>
<option value="Sao Tome E Principe"<?= (@$info->emp_country2=="Sao Tome E Principe")?" selected":""?>>Sao Tome E Principe</option>
<option value="Saudi Arabia"<?= (@$info->emp_country2=="Saudi Arabia")?" selected":""?>>Saudi Arabia</option>
<option value="Scotland"<?= (@$info->emp_country2=="Scotland")?" selected":""?>>Scotland</option>
<option value="Senegal"<?= (@$info->emp_country2=="Senegal")?" selected":""?>>Senegal</option>
<option value="Serbia And Montenegro"<?= (@$info->emp_country2=="Serbia And Montenegro")?" selected":""?>>Serbia And Montenegro</option>
<option value="Serbia, Republic Of"<?= (@$info->emp_country2=="Serbia, Republic Of")?" selected":""?>>Serbia, Republic Of</option>
<option value="Seychelles"<?= (@$info->emp_country2=="Seychelles")?" selected":""?>>Seychelles</option>
<option value="Sierra Leone"<?= (@$info->emp_country2=="Sierra Leone")?" selected":""?>>Sierra Leone</option>
<option value="Singapore"<?= (@$info->emp_country2=="Singapore")?" selected":""?>>Singapore</option>
<option value="Slovak Republic"<?= (@$info->emp_country2=="Slovak Republic")?" selected":""?>>Slovak Republic</option>
<option value="Slovenia"<?= (@$info->emp_country2=="Slovenia")?" selected":""?>>Slovenia</option>
<option value="Solomons, The"<?= (@$info->emp_country2=="Solomons, The")?" selected":""?>>Solomons, The</option>
<option value="Somali Republic"<?= (@$info->emp_country2=="Somali Republic")?" selected":""?>>Somali Republic</option>
<option value="South Africa, Republic Of"<?= (@$info->emp_country2=="South Africa, Republic Of")?" selected":""?>>South Africa, Republic Of</option>
<option value="Southern Antarctic Territories"<?= (@$info->emp_country2=="Southern Antarctic Territories")?" selected":""?>>Southern Antarctic Territories</option>
<option value="Spain"<?= (@$info->emp_country2=="Spain")?" selected":""?>>Spain</option>
<option value="Sri Lanka"<?= (@$info->emp_country2=="Sri Lanka")?" selected":""?>>Sri Lanka</option>
<option value="St. Helena"<?= (@$info->emp_country2=="St. Helena")?" selected":""?>>St. Helena</option>
<option value="St. Kitts-Nevis"<?= (@$info->emp_country2=="St. Kitts-Nevis")?" selected":""?>>St. Kitts-Nevis</option>
<option value="St. Lucia"<?= (@$info->emp_country2=="St. Lucia")?" selected":""?>>St. Lucia</option>
<option value="St. Pierre Et Miquelon"<?= (@$info->emp_country2=="St. Pierre Et Miquelon")?" selected":""?>>St. Pierre Et Miquelon</option>
<option value="St. Vincent and the Grenadines"<?= (@$info->emp_country2=="St. Vincent and the Grenadines")?" selected":""?>>St. Vincent and the Grenadines</option>
<option value="Sudan, Democratic Republic Of"<?= (@$info->emp_country2=="Sudan, Democratic Republic Of")?" selected":""?>>Sudan, Democratic Republic Of</option>
<option value="Surinam"<?= (@$info->emp_country2=="Surinam")?" selected":""?>>Surinam</option>
<option value="Swaziland"<?= (@$info->emp_country2=="Swaziland")?" selected":""?>>Swaziland</option>
<option value="Sweden"<?= (@$info->emp_country2=="Sweden")?" selected":""?>>Sweden</option>
<option value="Switzerland"<?= (@$info->emp_country2=="Switzerland")?" selected":""?>>Switzerland</option>
<option value="Syria"<?= (@$info->emp_country2=="Syria")?" selected":""?>>Syria</option>
<option value="Tadjikistan"<?= (@$info->emp_country2=="Tadjikistan")?" selected":""?>>Tadjikistan</option>
<option value="Taiwan"<?= (@$info->emp_country2=="Taiwan")?" selected":""?>>Taiwan</option>
<option value="Tanzania, United Republic Of"<?= (@$info->emp_country2=="Tanzania, United Republic Of")?" selected":""?>>Tanzania, United Republic Of</option>
<option value="Thailand"<?= (@$info->emp_country2=="Thailand")?" selected":""?>>Thailand</option>
<option value="Tibet"<?= (@$info->emp_country2=="Tibet")?" selected":""?>>Tibet</option>
<option value="Togo, Republic Of"<?= (@$info->emp_country2=="Togo, Republic Of")?" selected":""?>>Togo, Republic Of</option>
<option value="Tonga"<?= (@$info->emp_country2=="Tonga")?" selected":""?>>Tonga</option>
<option value="Trinidad & Tobago, Republic Of"<?= (@$info->emp_country2=="Trinidad & Tobago, Republic Of")?" selected":""?>>Trinidad & Tobago, Republic Of</option>
<option value="Tunisia"<?= (@$info->emp_country2=="Tunisia")?" selected":""?>>Tunisia</option>
<option value="Turkey"<?= (@$info->emp_country2=="Turkey")?" selected":""?>>Turkey</option>
<option value="Turkmenistan"<?= (@$info->emp_country2=="Turkmenistan")?" selected":""?>>Turkmenistan</option>
<option value="Turks And Caicos Islands"<?= (@$info->emp_country2=="Turks And Caicos Islands")?" selected":""?>>Turks And Caicos Islands</option>
<option value="Tuvalu"<?= (@$info->emp_country2=="Tuvalu")?" selected":""?>>Tuvalu</option>
<option value="Uganda"<?= (@$info->emp_country2=="Uganda")?" selected":""?>>Uganda</option>
<option value="Ukraine"<?= (@$info->emp_country2=="Ukraine")?" selected":""?>>Ukraine</option>
<option value="Union Of Soviet Socialist Rep"<?= (@$info->emp_country2=="Union Of Soviet Socialist Rep")?" selected":""?>>Union Of Soviet Socialist Rep</option>
<option value="united Arab Emirates"<?= (@$info->emp_country2=="united Arab Emirates")?" selected":""?>>united Arab Emirates</option>
<option value="United States of America"<?= (@$info->emp_country2=="United States of America")?" selected":""?>>United States of America</option>
<option value="Unknown"<?= (@$info->emp_country2=="Unknown")?" selected":""?>>Unknown</option>
<option value="Uruguay"<?= (@$info->emp_country2=="Uruguay")?" selected":""?>>Uruguay</option>
<option value="Uzbekistan"<?= (@$info->emp_country2=="Uzbekistan")?" selected":""?>>Uzbekistan</option>
<option value="Vanuatu"<?= (@$info->emp_country2=="Vanuatu")?" selected":""?>>Vanuatu</option>
<option value="Venezuela"<?= (@$info->emp_country2=="Venezuela")?" selected":""?>>Venezuela</option>
<option value="Vietnam, Socialist Republic Of"<?= (@$info->emp_country2=="Vietnam, Socialist Republic Of")?" selected":""?>>Vietnam, Socialist Republic Of</option>
<option value="Virgin Islands, British"<?= (@$info->emp_country2=="Virgin Islands, British")?" selected":""?>>Virgin Islands, British</option>
<option value="Virgin Islands, U.s."<?= (@$info->emp_country2=="Virgin Islands, U.s.")?" selected":""?>>Virgin Islands, U.s.</option>
<option value="Wales"<?= (@$info->emp_country2=="Wales")?" selected":""?>>Wales</option>
<option value="Wallis And Futuna"<?= (@$info->emp_country2=="Wallis And Futuna")?" selected":""?>>Wallis And Futuna</option>
<option value="Western Sahara"<?= (@$info->emp_country2=="Western Sahara")?" selected":""?>>Western Sahara</option>
<option value="Yemen, Republic Of"<?= (@$info->emp_country2=="Yemen, Republic Of")?" selected":""?>>Yemen, Republic Of</option>
<option value="Yugoslavia"<?= (@$info->emp_country2=="Yugoslavia")?" selected":""?>>Yugoslavia</option>
<option value="Zambia"<?= (@$info->emp_country2=="Zambia")?" selected":""?>>Zambia</option>
<option value="Zimbabwe"<?= (@$info->emp_country2=="Zimbabwe")?" selected":""?>>Zimbabwe</option>
			</select>
			</td>
        	<td>Province/State
        		<br />
        		<input type="text" name="emp_province2" value="<?= @$info->emp_province2?>" /></td>
        </tr>
		<tr class="odd">
            <td>3)From<br />
YYYY
            	<input type="text" name="emp_from_y3" value="<?= @$info->emp_from_y3?>" style="width:30px" />
MM
<input type="text" name="emp_from_m3" value="<?= @$info->emp_from_m3?>" style="width:15px" /></td>
        	<td>Current Activity/Occupation
        		<input type="text" name="emp_occup3" value="<?= @$info->emp_occup3?>" /></td>
        	<td>&nbsp;</td>
        	<td>Company/Employer/Facility name
        		<input type="text" name="emp_company3" value="<?= @$info->emp_company3?>" /></td>
        	<td>&nbsp;</td>
        </tr>
        <tr class="even">
            <td>To<br />
YYYY
            	<input type="text" name="emp_to_y3" value="<?= @$info->emp_to_y3?>" style="width:30px" />
MM
<input type="text" name="emp_to_m3" value="<?= @$info->emp_to_m3?>" style="width:15px" /></td>
        	<td>City/Town
        		<br />
        		<input type="text" name="emp_city3" value="<?= @$info->emp_city3?>" /></td>
        	<td>&nbsp;</td>
        	<td>Country<br />
			<select name="emp_country3">
<option></option>
<option value="Afghanistan"<?= (@$info->emp_country3=="Afghanistan")?" selected":""?>>Afghanistan</option>
<option value="Albania"<?= (@$info->emp_country3=="Albania")?" selected":""?>>Albania</option>
<option value="Algeria"<?= (@$info->emp_country3=="Algeria")?" selected":""?>>Algeria</option>
<option value="Andorra"<?= (@$info->emp_country3=="Andorra")?" selected":""?>>Andorra</option>
<option value="Angola"<?= (@$info->emp_country3=="Angola")?" selected":""?>>Angola</option>
<option value="Anguilla"<?= (@$info->emp_country3=="Anguilla")?" selected":""?>>Anguilla</option>
<option value="Antigua And Barbuda"<?= (@$info->emp_country3=="Antigua And Barbuda")?" selected":""?>>Antigua And Barbuda</option>
<option value="Argentina"<?= (@$info->emp_country3=="Argentina")?" selected":""?>>Argentina</option>
<option value="Armenia"<?= (@$info->emp_country3=="Armenia")?" selected":""?>>Armenia</option>
<option value="Aruba"<?= (@$info->emp_country3=="Aruba")?" selected":""?>>Aruba</option>
<option value="Australia"<?= (@$info->emp_country3=="Australia")?" selected":""?>>Australia</option>
<option value="Austria"<?= (@$info->emp_country3=="Austria")?" selected":""?>>Austria</option>
<option value="Azerbaijan"<?= (@$info->emp_country3=="Azerbaijan")?" selected":""?>>Azerbaijan</option>
<option value="Azores"<?= (@$info->emp_country3=="Azores")?" selected":""?>>Azores</option>
<option value="Bahama Islands, The"<?= (@$info->emp_country3=="Bahama Islands, The")?" selected":""?>>Bahama Islands, The</option>
<option value="Bahrain"<?= (@$info->emp_country3=="Bahrain")?" selected":""?>>Bahrain</option>
<option value="Bangladesh"<?= (@$info->emp_country3=="Bangladesh")?" selected":""?>>Bangladesh</option>
<option value="Barbados"<?= (@$info->emp_country3=="Barbados")?" selected":""?>>Barbados</option>
<option value="Belarus"<?= (@$info->emp_country3=="Belarus")?" selected":""?>>Belarus</option>
<option value="Belgium"<?= (@$info->emp_country3=="Belgium")?" selected":""?>>Belgium</option>
<option value="Belize"<?= (@$info->emp_country3=="Belize")?" selected":""?>>Belize</option>
<option value="Benin, Peoples Republic Of"<?= (@$info->emp_country3=="Benin, Peoples Republic Of")?" selected":""?>>Benin, Peoples Republic Of</option>
<option value="Bermuda"<?= (@$info->emp_country3=="Bermuda")?" selected":""?>>Bermuda</option>
<option value="Bhutan"<?= (@$info->emp_country3=="Bhutan")?" selected":""?>>Bhutan</option>
<option value="Bolivia"<?= (@$info->emp_country3=="Bolivia")?" selected":""?>>Bolivia</option>
<option value="Bosnia-Hercepovina"<?= (@$info->emp_country3=="Bosnia-Hercepovina")?" selected":""?>>Bosnia-Hercepovina</option>
<option value="Botswana, Republic Of"<?= (@$info->emp_country3=="Botswana, Republic Of")?" selected":""?>>Botswana, Republic Of</option>
<option value="Brazil"<?= (@$info->emp_country3=="Brazil")?" selected":""?>>Brazil</option>
<option value="Brunei"<?= (@$info->emp_country3=="Brunei")?" selected":""?>>Brunei</option>
<option value="Bulgaria"<?= (@$info->emp_country3=="Bulgaria")?" selected":""?>>Bulgaria</option>
<option value="Burkina Faso"<?= (@$info->emp_country3=="Burkina Faso")?" selected":""?>>Burkina Faso</option>
<option value="Burundi"<?= (@$info->emp_country3=="Burundi")?" selected":""?>>Burundi</option>
<option value="Cambodia"<?= (@$info->emp_country3=="Cambodia")?" selected":""?>>Cambodia</option>
<option value="Cameroon, Federal Republic Of"<?= (@$info->emp_country3=="Cameroon, Federal Republic Of")?" selected":""?>>Cameroon, Federal Republic Of</option>
<option value="Canada"<?= (@$info->emp_country3=="Canada")?" selected":""?>>Canada</option>
<option value="Canary Islands"<?= (@$info->emp_country3=="Canary Islands")?" selected":""?>>Canary Islands</option>
<option value="Cape Verde Islands"<?= (@$info->emp_country3=="Cape Verde Islands")?" selected":""?>>Cape Verde Islands</option>
<option value="Cayman Islands"<?= (@$info->emp_country3=="Cayman Islands")?" selected":""?>>Cayman Islands</option>
<option value="Central Africa Republic"<?= (@$info->emp_country3=="Central Africa Republic")?" selected":""?>>Central Africa Republic</option>
<option value="Chad, Republic Of"<?= (@$info->emp_country3=="Chad, Republic Of")?" selected":""?>>Chad, Republic Of</option>
<option value="Channel Islands"<?= (@$info->emp_country3=="Channel Islands")?" selected":""?>>Channel Islands</option>
<option value="Chile"<?= (@$info->emp_country3=="Chile")?" selected":""?>>Chile</option>
<option value="China, People's Republic Of"<?= (@$info->emp_country3=="China, People's Republic Of")?" selected":""?>>China, People's Republic Of</option>
<option value="Colombia"<?= (@$info->emp_country3=="Colombia")?" selected":""?>>Colombia</option>
<option value="Comoros"<?= (@$info->emp_country3=="Comoros")?" selected":""?>>Comoros</option>
<option value="Congo, People's Republic Of"<?= (@$info->emp_country3=="Congo, People's Republic Of")?" selected":""?>>Congo, People's Republic Of</option>
<option value="Congo, Democratic Republic Of"<?= (@$info->emp_country3=="Congo, Democratic Republic Of")?" selected":""?>>Congo, Democratic Republic Of</option>
<option value="Cook Islands"<?= (@$info->emp_country3=="Cook Islands")?" selected":""?>>Cook Islands</option>
<option value="Costa Rica"<?= (@$info->emp_country3=="Costa Rica")?" selected":""?>>Costa Rica</option>
<option value="Croatia"<?= (@$info->emp_country3=="Croatia")?" selected":""?>>Croatia</option>
<option value="Cuba"<?= (@$info->emp_country3=="Cuba")?" selected":""?>>Cuba</option>
<option value="Cyprus"<?= (@$info->emp_country3=="Cyprus")?" selected":""?>>Cyprus</option>
<option value="Czech Republic"<?= (@$info->emp_country3=="Czech Republic")?" selected":""?>>Czech Republic</option>
<option value="Czechoslovakia"<?= (@$info->emp_country3=="Czechoslovakia")?" selected":""?>>Czechoslovakia</option>
<option value="Denmark"<?= (@$info->emp_country3=="Denmark")?" selected":""?>>Denmark</option>
<option value="Djibouti, Republic Of"<?= (@$info->emp_country3=="Djibouti, Republic Of")?" selected":""?>>Djibouti, Republic Of</option>
<option value="Dominica"<?= (@$info->emp_country3=="Dominica")?" selected":""?>>Dominica</option>
<option value="Dominican Republic"<?= (@$info->emp_country3=="Dominican Republic")?" selected":""?>>Dominican Republic</option>
<option value="East Timor"<?= (@$info->emp_country3=="East Timor")?" selected":""?>>East Timor</option>
<option value="Ecuador"<?= (@$info->emp_country3=="Ecuador")?" selected":""?>>Ecuador</option>
<option value="Egypt"<?= (@$info->emp_country3=="Egypt")?" selected":""?>>Egypt</option>
<option value="El Salvador"<?= (@$info->emp_country3=="El Salvador")?" selected":""?>>El Salvador</option>
<option value="England"<?= (@$info->emp_country3=="England")?" selected":""?>>England</option>
<option value="Eritrea"<?= (@$info->emp_country3=="Eritrea")?" selected":""?>>Eritrea</option>
<option value="Estonia"<?= (@$info->emp_country3=="Estonia")?" selected":""?>>Estonia</option>
<option value="Ethiopia"<?= (@$info->emp_country3=="Ethiopia")?" selected":""?>>Ethiopia</option>
<option value="Falkland Islands"<?= (@$info->emp_country3=="Falkland Islands")?" selected":""?>>Falkland Islands</option>
<option value="Federated States of Micronesia"<?= (@$info->emp_country3=="Federated States of Micronesia")?" selected":""?>>Federated States of Micronesia</option>
<option value="Fiji"<?= (@$info->emp_country3=="Fiji")?" selected":""?>>Fiji</option>
<option value="Finland"<?= (@$info->emp_country3=="Finland")?" selected":""?>>Finland</option>
<option value="France"<?= (@$info->emp_country3=="France")?" selected":""?>>France</option>
<option value="French Guiana"<?= (@$info->emp_country3=="French Guiana")?" selected":""?>>French Guiana</option>
<option value="French Polynesia"<?= (@$info->emp_country3=="French Polynesia")?" selected":""?>>French Polynesia</option>
<option value="Fyr Macedonia"<?= (@$info->emp_country3=="Fyr Macedonia")?" selected":""?>>Fyr Macedonia</option>
<option value="Gabon Republic"<?= (@$info->emp_country3=="Gabon Republic")?" selected":""?>>Gabon Republic</option>
<option value="Gambia"<?= (@$info->emp_country3=="Gambia")?" selected":""?>>Gambia</option>
<option value="Georgia"<?= (@$info->emp_country3=="Georgia")?" selected":""?>>Georgia</option>

<option value="Germany, Federal Rebpublic Of"<?= (@$info->emp_country3=="Germany, Federal Rebpublic Of")?" selected":""?>>Germany, Federal Rebpublic Of</option>
<option value="Ghana"<?= (@$info->emp_country3=="Ghana")?" selected":""?>>Ghana</option>
<option value="Gibraltar"<?= (@$info->emp_country3=="Gibraltar")?" selected":""?>>Gibraltar</option>
<option value="Greece"<?= (@$info->emp_country3=="Greece")?" selected":""?>>Greece</option>
<option value="Greenland"<?= (@$info->emp_country3=="Greenland")?" selected":""?>>Greenland</option>
<option value="Grenada"<?= (@$info->emp_country3=="Grenada")?" selected":""?>>Grenada</option>
<option value="Guadeloupe"<?= (@$info->emp_country3=="Guadeloupe")?" selected":""?>>Guadeloupe</option>
<option value="Guam"<?= (@$info->emp_country3=="Guam")?" selected":""?>>Guam</option>
<option value="Guatemala"<?= (@$info->emp_country3=="Guatemala")?" selected":""?>>Guatemala</option>
<option value="Guinea, Equatorial"<?= (@$info->emp_country3=="Guinea, Equatorial")?" selected":""?>>Guinea, Equatorial</option>
<option value="Guinea, Republic Of"<?= (@$info->emp_country3=="Guinea, Republic Of")?" selected":""?>>Guinea, Republic Of</option>
<option value="Guinea-Bissau"<?= (@$info->emp_country3=="Guinea-Bissau")?" selected":""?>>Guinea-Bissau</option>
<option value="Guyana"<?= (@$info->emp_country3=="Guyana")?" selected":""?>>Guyana</option>
<option value="Haiti"<?= (@$info->emp_country3=="Haiti")?" selected":""?>>Haiti</option>
<option value="Holy See"<?= (@$info->emp_country3=="Holy See")?" selected":""?>>Holy See</option>
<option value="Honduras"<?= (@$info->emp_country3=="Honduras")?" selected":""?>>Honduras</option>
<option value="Hong Kong"<?= (@$info->emp_country3=="Hong Kong")?" selected":""?>>Hong Kong</option>
<option value="Hong Kong Sar"<?= (@$info->emp_country3=="Hong Kong Sar")?" selected":""?>>Hong Kong Sar</option>
<option value="Hungary"<?= (@$info->emp_country3=="Hungary")?" selected":""?>>Hungary</option>
<option value="Iceland"<?= (@$info->emp_country3=="Iceland")?" selected":""?>>Iceland</option>
<option value="India"<?= (@$info->emp_country3=="India")?" selected":""?>>India</option>
<option value="Indonesia, Republic Of"<?= (@$info->emp_country3=="Indonesia, Republic Of")?" selected":""?>>Indonesia, Republic Of</option>
<option value="Iran"<?= (@$info->emp_country3=="Iran")?" selected":""?>>Iran</option>
<option value="Iraq"<?= (@$info->emp_country3=="Iraq")?" selected":""?>>Iraq</option>
<option value="Ireland, Republic Of"<?= (@$info->emp_country3=="Ireland, Republic Of")?" selected":""?>>Ireland, Republic Of</option>
<option value="Israel"<?= (@$info->emp_country3=="Israel")?" selected":""?>>Israel</option>
<option value="Italy"<?= (@$info->emp_country3=="Italy")?" selected":""?>>Italy</option>
<option value="Ivory Coast, Republic"<?= (@$info->emp_country3=="Ivory Coast, Republic")?" selected":""?>>Ivory Coast, Republic</option>
<option value="Jamaica"<?= (@$info->emp_country3=="Jamaica")?" selected":""?>>Jamaica</option>
<option value="Japan"<?= (@$info->emp_country3=="Japan")?" selected":""?>>Japan</option>
<option value="Jordan"<?= (@$info->emp_country3=="Jordan")?" selected":""?>>Jordan</option>
<option value="Kazakhstan"<?= (@$info->emp_country3=="Kazakhstan")?" selected":""?>>Kazakhstan</option>
<option value="Kenya"<?= (@$info->emp_country3=="Kenya")?" selected":""?>>Kenya</option>
<option value="Kiribati"<?= (@$info->emp_country3=="Kiribati")?" selected":""?>>Kiribati</option>
<option value="Korea (North)"<?= (@$info->emp_country3=="Korea (North)")?" selected":""?>>Korea (North)</option>
<option value="Korea, Republic Of"<?= (@$info->emp_country3=="Korea, Republic Of")?" selected":""?>>Korea, Republic Of</option>
<option value="Kuwait"<?= (@$info->emp_country3=="Kuwait")?" selected":""?>>Kuwait</option>
<option value="Kyrgyzstan"<?= (@$info->emp_country3=="Kyrgyzstan")?" selected":""?>>Kyrgyzstan</option>
<option value="Laos"<?= (@$info->emp_country3=="Laos")?" selected":""?>>Laos</option>
<option value="Latvia"<?= (@$info->emp_country3=="Latvia")?" selected":""?>>Latvia</option>
<option value="Lebanon"<?= (@$info->emp_country3=="Lebanon")?" selected":""?>>Lebanon</option>
<option value="Lesotho"<?= (@$info->emp_country3=="Lesotho")?" selected":""?>>Lesotho</option>
<option value="Liberia"<?= (@$info->emp_country3=="Liberia")?" selected":""?>>Liberia</option>
<option value="Libya"<?= (@$info->emp_country3=="Libya")?" selected":""?>>Libya</option>
<option value="Liechtenstein"<?= (@$info->emp_country3=="Liechtenstein")?" selected":""?>>Liechtenstein</option>
<option value="Lithuania"<?= (@$info->emp_country3=="Lithuania")?" selected":""?>>Lithuania</option>
<option value="Luxembourg"<?= (@$info->emp_country3=="Luxembourg")?" selected":""?>>Luxembourg</option>
<option value="Macao"<?= (@$info->emp_country3=="Macao")?" selected":""?>>Macao</option>
<option value="Macau SAR"<?= (@$info->emp_country3=="Macau SAR")?" selected":""?>>Macau SAR</option>
<option value="Madagascar"<?= (@$info->emp_country3=="Madagascar")?" selected":""?>>Madagascar</option>
<option value="Madeira"<?= (@$info->emp_country3=="Madeira")?" selected":""?>>Madeira</option>
<option value="Malawi"<?= (@$info->emp_country3=="Malawi")?" selected":""?>>Malawi</option>
<option value="Malaysia"<?= (@$info->emp_country3=="Malaysia")?" selected":""?>>Malaysia</option>
<option value="Maldives, Republic Of"<?= (@$info->emp_country3=="Maldives, Republic Of")?" selected":""?>>Maldives, Republic Of</option>
<option value="Mali, Republic Of"<?= (@$info->emp_country3=="Mali, Republic Of")?" selected":""?>>Mali, Republic Of</option>
<option value="Malta"<?= (@$info->emp_country3=="Malta")?" selected":""?>>Malta</option>
<option value="Marshall Islands"<?= (@$info->emp_country3=="Marshall Islands")?" selected":""?>>Marshall Islands</option>
<option value="Martinique"<?= (@$info->emp_country3=="Martinique")?" selected":""?>>Martinique</option>
<option value="Mauritania"<?= (@$info->emp_country3=="Mauritania")?" selected":""?>>Mauritania</option>
<option value="Mauritius"<?= (@$info->emp_country3=="Mauritius")?" selected":""?>>Mauritius</option>
<option value="Mayotte"<?= (@$info->emp_country3=="Mayotte")?" selected":""?>>Mayotte</option>
<option value="Mexico"<?= (@$info->emp_country3=="Mexico")?" selected":""?>>Mexico</option>
<option value="Moldova"<?= (@$info->emp_country3=="Moldova")?" selected":""?>>Moldova</option>
<option value="Monaco"<?= (@$info->emp_country3=="Monaco")?" selected":""?>>Monaco</option>
<option value="Mongolia, People's Republic Of"<?= (@$info->emp_country3=="Mongolia, People's Republic Of")?" selected":""?>>Mongolia, People's Republic Of</option>
<option value="Montenegro, Republic Of"<?= (@$info->emp_country3=="Montenegro, Republic Of")?" selected":""?>>Montenegro, Republic Of</option>
<option value="Montserrat"<?= (@$info->emp_country3=="Montserrat")?" selected":""?>>Montserrat</option>
<option value="Morocco"<?= (@$info->emp_country3=="Morocco")?" selected":""?>>Morocco</option>
<option value="Monzambique"<?= (@$info->emp_country3=="Monzambique")?" selected":""?>>Monzambique</option>
<option value="Myanmar (Burma)"<?= (@$info->emp_country3=="Myanmar (Burma)")?" selected":""?>>Myanmar (Burma)</option>
<option value="Namibia"<?= (@$info->emp_country3=="Namibia")?" selected":""?>>Namibia</option>
<option value="Nauru"<?= (@$info->emp_country3=="Nauru")?" selected":""?>>Nauru</option>
<option value="Nepal"<?= (@$info->emp_country3=="Nepal")?" selected":""?>>Nepal</option>
<option value="Netherlands Antilles, The"<?= (@$info->emp_country3=="Netherlands Antilles, The")?" selected":""?>>Netherlands Antilles, The</option>
<option value="Netherlands, The"<?= (@$info->emp_country3=="Netherlands, The")?" selected":""?>>Netherlands, The</option>
<option value="Nevis"<?= (@$info->emp_country3=="Nevis")?" selected":""?>>Nevis</option>
<option value="New Caledonia"<?= (@$info->emp_country3=="New Caledonia")?" selected":""?>>New Caledonia</option>
<option value="New Zealand"<?= (@$info->emp_country3=="New Zealand")?" selected":""?>>New Zealand</option>
<option value="Nicaragua"<?= (@$info->emp_country3=="Nicaragua")?" selected":""?>>Nicaragua</option>
<option value="Niger, Republic Of The"<?= (@$info->emp_country3=="Niger, Republic Of The")?" selected":""?>>Niger, Republic Of The</option>
<option value="Nigeria"<?= (@$info->emp_country3=="Nigeria")?" selected":""?>>Nigeria</option>
<option value="Northern Ireland"<?= (@$info->emp_country3=="Northern Ireland")?" selected":""?>>Northern Ireland</option>
<option value="Northern Mariana Islands"<?= (@$info->emp_country3=="Northern Mariana Islands")?" selected":""?>>Northern Mariana Islands</option>
<option value="Norway"<?= (@$info->emp_country3=="Norway")?" selected":""?>>Norway</option>
<option value="Oman"<?= (@$info->emp_country3=="Oman")?" selected":""?>>Oman</option>
<option value="Pakistan"<?= (@$info->emp_country3=="Pakistan")?" selected":""?>>Pakistan</option>
<option value="Palestinian Autho.Gaza/W Bank"<?= (@$info->emp_country3=="Palestinian Autho.Gaza/W Bank")?" selected":""?>>Palestinian Autho.Gaza/W Bank</option>
<option value="Panama, Republic Of"<?= (@$info->emp_country3=="Panama, Republic Of")?" selected":""?>>Panama, Republic Of</option>
<option value="Papua New Guinea"<?= (@$info->emp_country3=="Papua New Guinea")?" selected":""?>>Papua New Guinea</option>
<option value="Paraguay"<?= (@$info->emp_country3=="Paraguay")?" selected":""?>>Paraguay</option>
<option value="Peru"<?= (@$info->emp_country3=="Peru")?" selected":""?>>Peru</option>
<option value="Philippines"<?= (@$info->emp_country3=="Philippines")?" selected":""?>>Philippines</option>
<option value="Pitcairn Island"<?= (@$info->emp_country3=="Pitcairn Island")?" selected":""?>>Pitcairn Island</option>
<option value="poland"<?= (@$info->emp_country3=="poland")?" selected":""?>>poland</option>
<option value="Portugal"<?= (@$info->emp_country3=="Portugal")?" selected":""?>>Portugal</option>
<option value="Puerto Rico"<?= (@$info->emp_country3=="Puerto Rico")?" selected":""?>>Puerto Rico</option>
<option value="Qatar"<?= (@$info->emp_country3=="Qatar")?" selected":""?>>Qatar</option>
<option value="Republic Of Kosovo"<?= (@$info->emp_country3=="Republic Of Kosovo")?" selected":""?>>Republic Of Kosovo</option>
<option value="Republic Of Palau"<?= (@$info->emp_country3=="Republic Of Palau")?" selected":""?>>Republic Of Palau</option>
<option value="Reunion"<?= (@$info->emp_country3=="Reunion")?" selected":""?>>Reunion</option>
<option value="Romania"<?= (@$info->emp_country3=="Romania")?" selected":""?>>Romania</option>
<option value="Russia"<?= (@$info->emp_country3=="Russia")?" selected":""?>>Russia</option>
<option value="Rwanda"<?= (@$info->emp_country3=="Rwanda")?" selected":""?>>Rwanda</option>
<option value="Samoa, American"<?= (@$info->emp_country3=="Samoa, American")?" selected":""?>>Samoa, American</option>
<option value="Samoa, Western"<?= (@$info->emp_country3=="Samoa, Western")?" selected":""?>>Samoa, Western</option>
<option value="San Marino"<?= (@$info->emp_country3=="San Marino")?" selected":""?>>San Marino</option>
<option value="Sao Tome E Principe"<?= (@$info->emp_country3=="Sao Tome E Principe")?" selected":""?>>Sao Tome E Principe</option>
<option value="Saudi Arabia"<?= (@$info->emp_country3=="Saudi Arabia")?" selected":""?>>Saudi Arabia</option>
<option value="Scotland"<?= (@$info->emp_country3=="Scotland")?" selected":""?>>Scotland</option>
<option value="Senegal"<?= (@$info->emp_country3=="Senegal")?" selected":""?>>Senegal</option>
<option value="Serbia And Montenegro"<?= (@$info->emp_country3=="Serbia And Montenegro")?" selected":""?>>Serbia And Montenegro</option>
<option value="Serbia, Republic Of"<?= (@$info->emp_country3=="Serbia, Republic Of")?" selected":""?>>Serbia, Republic Of</option>
<option value="Seychelles"<?= (@$info->emp_country3=="Seychelles")?" selected":""?>>Seychelles</option>
<option value="Sierra Leone"<?= (@$info->emp_country3=="Sierra Leone")?" selected":""?>>Sierra Leone</option>
<option value="Singapore"<?= (@$info->emp_country3=="Singapore")?" selected":""?>>Singapore</option>
<option value="Slovak Republic"<?= (@$info->emp_country3=="Slovak Republic")?" selected":""?>>Slovak Republic</option>
<option value="Slovenia"<?= (@$info->emp_country3=="Slovenia")?" selected":""?>>Slovenia</option>
<option value="Solomons, The"<?= (@$info->emp_country3=="Solomons, The")?" selected":""?>>Solomons, The</option>
<option value="Somali Republic"<?= (@$info->emp_country3=="Somali Republic")?" selected":""?>>Somali Republic</option>
<option value="South Africa, Republic Of"<?= (@$info->emp_country3=="South Africa, Republic Of")?" selected":""?>>South Africa, Republic Of</option>
<option value="Southern Antarctic Territories"<?= (@$info->emp_country3=="Southern Antarctic Territories")?" selected":""?>>Southern Antarctic Territories</option>
<option value="Spain"<?= (@$info->emp_country3=="Spain")?" selected":""?>>Spain</option>
<option value="Sri Lanka"<?= (@$info->emp_country3=="Sri Lanka")?" selected":""?>>Sri Lanka</option>
<option value="St. Helena"<?= (@$info->emp_country3=="St. Helena")?" selected":""?>>St. Helena</option>
<option value="St. Kitts-Nevis"<?= (@$info->emp_country3=="St. Kitts-Nevis")?" selected":""?>>St. Kitts-Nevis</option>
<option value="St. Lucia"<?= (@$info->emp_country3=="St. Lucia")?" selected":""?>>St. Lucia</option>
<option value="St. Pierre Et Miquelon"<?= (@$info->emp_country3=="St. Pierre Et Miquelon")?" selected":""?>>St. Pierre Et Miquelon</option>
<option value="St. Vincent and the Grenadines"<?= (@$info->emp_country3=="St. Vincent and the Grenadines")?" selected":""?>>St. Vincent and the Grenadines</option>
<option value="Sudan, Democratic Republic Of"<?= (@$info->emp_country3=="Sudan, Democratic Republic Of")?" selected":""?>>Sudan, Democratic Republic Of</option>
<option value="Surinam"<?= (@$info->emp_country3=="Surinam")?" selected":""?>>Surinam</option>
<option value="Swaziland"<?= (@$info->emp_country3=="Swaziland")?" selected":""?>>Swaziland</option>
<option value="Sweden"<?= (@$info->emp_country3=="Sweden")?" selected":""?>>Sweden</option>
<option value="Switzerland"<?= (@$info->emp_country3=="Switzerland")?" selected":""?>>Switzerland</option>
<option value="Syria"<?= (@$info->emp_country3=="Syria")?" selected":""?>>Syria</option>
<option value="Tadjikistan"<?= (@$info->emp_country3=="Tadjikistan")?" selected":""?>>Tadjikistan</option>
<option value="Taiwan"<?= (@$info->emp_country3=="Taiwan")?" selected":""?>>Taiwan</option>
<option value="Tanzania, United Republic Of"<?= (@$info->emp_country3=="Tanzania, United Republic Of")?" selected":""?>>Tanzania, United Republic Of</option>
<option value="Thailand"<?= (@$info->emp_country3=="Thailand")?" selected":""?>>Thailand</option>
<option value="Tibet"<?= (@$info->emp_country3=="Tibet")?" selected":""?>>Tibet</option>
<option value="Togo, Republic Of"<?= (@$info->emp_country3=="Togo, Republic Of")?" selected":""?>>Togo, Republic Of</option>
<option value="Tonga"<?= (@$info->emp_country3=="Tonga")?" selected":""?>>Tonga</option>
<option value="Trinidad & Tobago, Republic Of"<?= (@$info->emp_country3=="Trinidad & Tobago, Republic Of")?" selected":""?>>Trinidad & Tobago, Republic Of</option>
<option value="Tunisia"<?= (@$info->emp_country3=="Tunisia")?" selected":""?>>Tunisia</option>
<option value="Turkey"<?= (@$info->emp_country3=="Turkey")?" selected":""?>>Turkey</option>
<option value="Turkmenistan"<?= (@$info->emp_country3=="Turkmenistan")?" selected":""?>>Turkmenistan</option>
<option value="Turks And Caicos Islands"<?= (@$info->emp_country3=="Turks And Caicos Islands")?" selected":""?>>Turks And Caicos Islands</option>
<option value="Tuvalu"<?= (@$info->emp_country3=="Tuvalu")?" selected":""?>>Tuvalu</option>
<option value="Uganda"<?= (@$info->emp_country3=="Uganda")?" selected":""?>>Uganda</option>
<option value="Ukraine"<?= (@$info->emp_country3=="Ukraine")?" selected":""?>>Ukraine</option>
<option value="Union Of Soviet Socialist Rep"<?= (@$info->emp_country3=="Union Of Soviet Socialist Rep")?" selected":""?>>Union Of Soviet Socialist Rep</option>
<option value="united Arab Emirates"<?= (@$info->emp_country3=="united Arab Emirates")?" selected":""?>>united Arab Emirates</option>
<option value="United States of America"<?= (@$info->emp_country3=="United States of America")?" selected":""?>>United States of America</option>
<option value="Unknown"<?= (@$info->emp_country3=="Unknown")?" selected":""?>>Unknown</option>
<option value="Uruguay"<?= (@$info->emp_country3=="Uruguay")?" selected":""?>>Uruguay</option>
<option value="Uzbekistan"<?= (@$info->emp_country3=="Uzbekistan")?" selected":""?>>Uzbekistan</option>
<option value="Vanuatu"<?= (@$info->emp_country3=="Vanuatu")?" selected":""?>>Vanuatu</option>
<option value="Venezuela"<?= (@$info->emp_country3=="Venezuela")?" selected":""?>>Venezuela</option>
<option value="Vietnam, Socialist Republic Of"<?= (@$info->emp_country3=="Vietnam, Socialist Republic Of")?" selected":""?>>Vietnam, Socialist Republic Of</option>
<option value="Virgin Islands, British"<?= (@$info->emp_country3=="Virgin Islands, British")?" selected":""?>>Virgin Islands, British</option>
<option value="Virgin Islands, U.s."<?= (@$info->emp_country3=="Virgin Islands, U.s.")?" selected":""?>>Virgin Islands, U.s.</option>
<option value="Wales"<?= (@$info->emp_country3=="Wales")?" selected":""?>>Wales</option>
<option value="Wallis And Futuna"<?= (@$info->emp_country3=="Wallis And Futuna")?" selected":""?>>Wallis And Futuna</option>
<option value="Western Sahara"<?= (@$info->emp_country3=="Western Sahara")?" selected":""?>>Western Sahara</option>
<option value="Yemen, Republic Of"<?= (@$info->emp_country3=="Yemen, Republic Of")?" selected":""?>>Yemen, Republic Of</option>
<option value="Yugoslavia"<?= (@$info->emp_country3=="Yugoslavia")?" selected":""?>>Yugoslavia</option>
<option value="Zambia"<?= (@$info->emp_country3=="Zambia")?" selected":""?>>Zambia</option>
<option value="Zimbabwe"<?= (@$info->emp_country3=="Zimbabwe")?" selected":""?>>Zimbabwe</option>
			</select>
			</td>
        	<td>Province/State
        		<br />
        		<input type="text" name="emp_province3" value="<?= @$info->emp_province3?>" /></td>
        </tr>
		

		<tr class="odd">
            <td colspan="5"><strong>BACKGROUND INFORMATION</strong></td>
        </tr>
		
		<tr class="even">
            <td colspan="5">You must complete this section if you are 18 years of age or older.</td>
        </tr>
		
		<tr class="odd">
            <td colspan="4">1.a) Within the past two years, have you or a family member ever had tuberculosis of the lungs or been in close contact with a person with tuberculosis?</td>
        	<td>
			<input type="radio" name="has_tuberculosis" value="0" <?= (@$info->has_tuberculosis==0)?'checked':''?> />No 
        	<input type="radio" name="has_tuberculosis" value="1" <?= (@$info->has_tuberculosis==1)?'checked':''?> />Yes
			</td>
        </tr>
        <tr class="even">
            <td colspan="4">b) Do you have any physical or mental disorder that would require social and/or health services, other than medication, during a stay in Canada?</td>
        	<td>
			<input type="radio" name="has_physical" value="0" <?= (@$info->has_physical==0)?'checked':''?> />No 
        	<input type="radio" name="has_physical" value="1" <?= (@$info->has_physical==1)?'checked':''?> />Yes
			</td>
        </tr>
		<tr class="odd">
            <td colspan="5">c) If you answered &quot;yes&quot; to question 1a) or 1b), please provide details and the name of the family member (if applicable).</td>
        	</tr>
        <tr class="even">
            <td colspan="5"><textarea name="physical_detail"><?= @$info->physical_detail?></textarea></td>
        	</tr>
		<tr class="odd">
            <td colspan="4">2.a) Have you ever previously applied for any Canadian visas (For example: Permanent Resident, Temporary Resident (Visitor, Student, Worker),
            	Temporary Resident Permit)?</td>
        	<td>
			<input type="radio" name="has_applied" value="0" <?= (@$info->has_applied==0)?'checked':''?> />No 
        	<input type="radio" name="has_applied" value="1" <?= (@$info->has_applied==1)?'checked':''?> />Yes
			</td>
        </tr>
        <tr class="even">
            <td colspan="4">b) Have you ever been refused any kind of visa to travel to Canada?</td>
        	<td>
			<input type="radio" name="has_refused" value="0" <?= (@$info->has_refused==0)?'checked':''?> />No 
        	<input type="radio" name="has_refused" value="1" <?= (@$info->has_refused==1)?'checked':''?> />Yes
			</td>
        </tr>
		<tr class="odd">
            <td colspan="4">c) Have you ever been refused admission or been ordered to leave Canada or any other country?</td>
        	<td>
			<input type="radio" name="has_leave" value="0" <?= (@$info->has_leave==0)?'checked':''?> />No 
        	<input type="radio" name="has_leave" value="1" <?= (@$info->has_leave==1)?'checked':''?> />Yes
			</td>
        </tr>
        <tr class="even">
            <td colspan="5">d) If you answered &quot;yes&quot; to question 2a), 2b), or 2c) please provide details.</td>
        	</tr>
		<tr class="odd">
            <td colspan="5"><textarea name="apply_detail"><?= @$info->apply_detail?></textarea></td>
        	</tr>
        <tr class="even">
            <td colspan="4">3.Have you ever committed, been arrested for or been charged with any criminal offence in any country? <br /></td>
        	<td>
			<input type="radio" name="has_criminal" value="0" <?= (@$info->has_criminal==0)?'checked':''?> />No 
        	<input type="radio" name="has_criminal" value="1" <?= (@$info->has_criminal==1)?'checked':''?> />Yes
			</td>
        </tr>
		<tr class="odd">
            <td colspan="4">4.a) Have you ever been in a military, militia or civil defence unit or the police?</td>
        	<td>
			<input type="radio" name="has_service" value="0" <?= (@$info->has_service==0)?'checked':''?> />No 
        	<input type="radio" name="has_service" value="1" <?= (@$info->has_service==1)?'checked':''?> />Yes
			</td>
        </tr>
        <tr class="even">
            <td colspan="5">b) If you answered “yes” to question 4a), please provide dates of service and countries where you served.</td>
        	</tr>
		<tr class="odd">
            <td colspan="5"><textarea name="service_detail"><?= @$info->service_detail?></textarea></td>
        	</tr>
        <tr class="even">
            <td colspan="4">5.Have you ever been employed by a government in a security-related capacity?</td>
        	<td>
			<input type="radio" name="has_security" value="0" <?= (@$info->has_security==0)?'checked':''?> />No 
        	<input type="radio" name="has_security" value="1" <?= (@$info->has_security==1)?'checked':''?> />Yes
			</td>
        </tr>
		<tr class="odd">
            <td colspan="4">6.Have you ever held a position of authority in any government, or judiciary or a political party?</td>
        	<td>
			<input type="radio" name="has_authority" value="0" <?= (@$info->has_authority==0)?'checked':''?> />No 
        	<input type="radio" name="has_authority" value="1" <?= (@$info->has_authority==1)?'checked':''?> />Yes
			</td>
        </tr>
        <tr class="even">
            <td colspan="4">7.Have you ever in periods of either peace or war, been involved in the commission of a war crime or crime against humanity, such as:<br />
            	willful killing, torture, attacks upon, enslavement, starvation or other inhumane acts committed against civilians or prisoners of war, or deportation of civilians?</td>
        	<td>
			<input type="radio" name="has_inhumane" value="0" <?= (@$info->has_inhumane==0)?'checked':''?> />No 
        	<input type="radio" name="has_inhumane" value="1" <?= (@$info->has_inhumane==1)?'checked':''?> />Yes
			</td>
		</tr>
		
		<tr class="even">
		  <td colspan="5">If you answered “yes” to any of questions 3 to 7 above, or upon request of a visa officer, you MAY BE REQUIRED to fill out IMM 5257 Schedule 1.</td>
		</tr>
    </tbody>
	</table>
<!-- table end -->
</form>

			</div>
		</div>
		
		<?=$this->load->view('include_sidebar',array('id'=>$id,'forms'=>$forms))?>
	</div>

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		service_in:"required",
		surname:"required",
		has_other_name:"required",
		sex:"required",
		birth_y:"required",
		birth_m:"required",
		birth_d:"required",
		birth_place:"required",
		birth_country:"required",
		citizenship:"required",
		current_country:"required",
		current_status:"required",
		current_from:"required",
		current_to:"required",
		is_pre_residence:"required",
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		travel_document_country:"required",
		travel_document_issue_date:"required",
		travel_document_valid_date:"required",
		mailing_street_name:"required",
		mailing_city:"required",
		mailing_country:"required",
		is_same_mailing:"required",
		study_school:"required",
		study_province:"required",
		study_city:"required",
		study_address:"required",
		study_program:"required",
		study_from:"required",
		study_to:"required",
		study_tuition:"required",
		study_cad:"required",
		study_pay:"required",
		has_edu:"required",
		emp_from_y1:"required",
		emp_from_m1:"required",
		emp_occup1:"required",
		emp_company1:"required",
		emp_city1:"required",
		emp_country1:"required"
    }
  });
  
	$.datepicker.setDefaults(
		{
		dateFormat: 'yy-mm-dd',
		changeMonth: true,
		changeYear: true,
		showOn: "both",
		buttonImage: "images/calendar.gif",
		buttonImageOnly: true
		}
	);
	$("#current_from").datepicker();
	$("#current_to").datepicker();
	$("#pre_from1").datepicker();
	$("#pre_to1").datepicker();
	$("#pre_from2").datepicker();
	$("#pre_to2").datepicker();
	$("#apply_from").datepicker();
	$("#apply_to").datepicker();
	$("#marry_date").datepicker();
	$("#pre_married_from").datepicker();
	$("#pre_married_to").datepicker();
	$("#visit_from").datepicker();
	$("#visit_to").datepicker();
	$("#travel_document_issue_date").datepicker();
	$("#travel_document_valid_date").datepicker();
	$("#study_from").datepicker();
	$("#study_to").datepicker();
	
	$("#email").autoMail();
	

	$("#printInfo").click(function(o) {
		var prints = [
			{rel_id: <?=$cateid?>, rec_id: <?=$id?>}
		]  ;
		
		var jdata = JSON.stringify(prints);
		//alert(jdata);
		$.post("<?=site_url('proxy/does/'.str_replace('==','',base64_encode('http://'.$_SERVER['SERVER_NAME'].':9090/javaprduct/servlet/test')))?>",{clients:jdata},function(msg){alert(msg)});
	});
	
	$("#printInfo").ajaxError(function(event,request, settings){
		//$(this).append("<li>出错页面:" + settings.url + "</li>");
		alert("无法访问"+ settings.url );
	}); 
 
});
</script>

<?=$this->load->view('include_footer',null)?>